重症急性胰腺炎的非手术治疗

Non surgical treatment of severe acute pancreatitis

目的评估重症急性胰腺炎的非手术适应证。方法对１９９２年３月～１９９７年１０月我院１１２例急性胰腺炎非手术治疗病例进行了前瞻性研究。男４４例，女６８例，年龄２６～９１岁（平均５１９±１４３岁），其中重症急性胰腺炎１００例。结果本组仅５例死亡，４例中转手术。大多数重症急性胰腺炎，包括有严重并发症者、老龄患者、伴发有其他系统疾病者可通过非手术治疗而治愈。结论重症急性胰腺炎非手术治疗适应于除胰周脓肿外的所有急性胰腺炎患者。

Objective To evaluate the indications of non surgical treatment of severe acute pancreatitis(SAP). Methods A prespective study was carried out on 112 patients with acute pancreatitis who underwent conservative treatment from March 1992 to October 1997. Results There were 44 men and 68 women, aged 26～91 years with the mean age of 51.9±14.3 years. Among them, 100 cases were SAP. Of these patients, only 5 died and 4 changed to operation. Most patients with SAP can be cured by conservative treatment mcluding patients with severe complications, other system disorders and even the aged patients. Conclusions Conservative treatment is suitable to most of the patients with severe acute pancreatitis excluding pancreas abscess.