急性坏死性胰腺炎的外科治疗

Surgical Treatment Acute-necrotizing Pancreatitis

收治急性坏死性胰腺炎４３例，死亡１３例，病死率３０％．其中非手术组１７例，死亡３例占１８％；手术组２６例，死亡１０例占３８％．并发休克１０例，急性肾功衰７例，多器官功能衰竭４例，ＡＲＤＳ５例，ＤＩＣ４例，肝功衰竭３例，胰性脑病２例，胰源性大出血４例，胰外瘘２例，空肠瘘１例．重点讨论了诊断标准。

Admitted were 43 case of acute-necrotizing pancreatitis, of which 13 were dead and mortality was 30%. In the non-surgery group, there were 3 deaths, accounting for 18%; in the surgery group, there were 10 deaths, accounting for 38%. There occurred 10 case of accompanying shock, 7 cases of acute kidney failure, 4 cases of multiple organ failure, 5 cases of ARDS, 4 cases of DIC, 3 cases of liver failure, 2 cases of pancreatogenic encephalopathy, 4 cases of pancreatogenic hemorrhage, 2 cases of external pancreatic fistula and 1 cases of jejunum fistula. Our discussion centred on the diagnostic criteria, operative opportunity, and surgical pattern. 