重症急性胰腺炎外科治疗选择

SURGICAL CHOICE FOR SERIOUSACUTE PANCREATITIS

目的：为重症急性胰腺炎的外科治疗作合理的选择。方法：根据临床表现结合ＣＴ诊断的重症急性胰腺炎病人２３例，其中非手术治疗１７例，全部治愈，中转手术６例，１例死亡。本文结合近年来国内外文献资料作比较分析。结论：对重症急性胰腺炎病人，早期主张正规的非手术治疗，大部分病人可以痊愈。当胰周出现严重感染或器官功能衰竭者则需手术治疗。

Object evaluation of rational surgical choice for acute serious pancreatitisMethod 23 cases of serious acute pancreatitis,all were diagnosed by clinical and CT evaluation;17 cases among the group underging non-operative administration were cured;1 case among 6 cases undergoing operation was notOur results was analysed and compared with those in previous recent reports in this field .Conclusion:Early rational nonoperative adminstration is often effective in treatment of most serious acute pancreatitis;only in the cases with serious infection around the pancreans,or multiple organ disfunction,the surgical intervention is needed.