157例急性胰腺炎的诊治体会

Experience of diagnosis and treatment in 157 cases of acute pancreatitis

目的:探讨急性胰腺炎的诊断和治疗。方法:回顾分析我院2001年2月～2008年12月收治的急性胰腺炎病人157例,其中轻型133例,重型24例。结果:133例经综合治疗后痊愈,18例经手术治疗后痊愈,6例患者均出现多器官功能衰竭而死亡,死亡原因与多器官功能衰竭及胰腺感染呈明显的正相关。结论:轻型胰腺炎患者经综合治疗而痊愈。但胆源性胰腺炎应在同一住院期间择期行手术治疗去除胆管病因,以防复发。重型胰腺炎在综合治疗的同时,根据个体化原则选取适当的治疗方式。但防治多器官功能衰竭及胰腺感染是降低胰腺炎死亡率的关键。

Objective：To study the diagnosis and treatment of acute pancreatitis.Methods：To retrospectively analyze 157 cases of acute pancreatitis admitted to our hospital from February 2001 to December 2008.Among them, 133 cases were mild and 24 eases were severe.Results：133 cases were cured with comprehensive treatment and 18 cases were cured by operation. 6 cases died of multiple organs failure.The causes of death were correlated positively with the multiple organs failure and pancreatic infection.Conclusion： Mild panere- atitis may be cured with comprehensive treatment. But biliogenic pancreatitis should be treated with selective operation during the period of same hospitalization to remove biliary causes for preventing relapse. For severe pancreatitis, the proper treatment should be simultane- ously chosen according to individualization principle in addition to comprehensive treatment. The key to reduce the mortality is to prevent the multiple organs failure and pancreatic infection.