重症胰腺炎死亡原因分析

The analysis of death of severe acute pancreatitis

本院5年共收治重症胰腺炎65例．其中死亡21例．病死率为32．3％。早期死亡原因主要为休克、ARDS、急性肾功能衰竭。后期死亡主要与MODS、消化道大出血、胰床大出血等严重并发症有关。认为应当重视胰腺炎发病后的早期抢救．强调维持有效循环血量，控制胰腺感染可降低后期死亡。患者伴有高血压等严重的合并症也是导致死亡的原因之一．应加强对这部分病人的监测和处理。

21 patients died in those with severe acute pancreatitis (SAP) who admitted in the past 5 years. The mortality was 32. 3 %. The main early death of the patients were the result of shock. ARDS and acute renal failure. but the later death related mainly to such severe complications as MODS and Hemorrhage of GI and Pancreas etc. It is important to pay attention to primary resuement of SAP and to lay stress on supproting patients' circulation. Such severe disaese associated with SAP as hypertention was the other reason for death. The emphase may be lay on the monitoring and treatment of these patients.