重症急性胰腺炎的病死率分析

Clinical analysis of mortality of severe acute pancreatitis

目的探讨急性重症胰腺炎死亡的原因。方法收集2006年1月～2009年12月在中南大学湘雅附二医院接受治疗的急性重症胰腺炎患者205例的病历资料,通过回顾性调查,对急性重症胰腺炎的并发症及其病死率进行统计分析。结果本组总的病死率为10.7%。其中,合并多器官功能障碍死亡率最高,为60.0%。结论胆道疾病是重症胰腺炎的主要病因,其次为特发性因素,特发性胰腺炎病死率最高。急性呼吸窘迫综合征、休克、多器官功能障碍综合征是引起死亡的主要因素。

Objective To explore the causes of death of severe acute pancreatitis. Methods Through retrospective survey on 205 cases with severe acute pancreatitis from January 2006 to December 2009 in the Second Xiangya Hospital of Central South University, complications and mortality of severe acute panereatitJs were statisticaly analyzed. Results The overall mortality rate was 10.7%. The highest mortality occurred in MODS with 60.0%. Conclusion The highest mortality occurred in severe idiopathic panereatitis. ARDS, shock and MODS are the main factors of death.