重症急性胰腺炎早期手术指征的探讨

Investigation for early operation indication of severe acute pancreatitis.

目的 探讨 Ｓ Ａ Ｐ 的早期手术指征。方法 回顾分析１１ 例采用非手术治疗 Ｓ Ａ Ｐ Ⅱ级病例的死亡原因。结果 １１ 例 Ｓ Ａ Ｐ 均死于疾病早期，并发休克、 Ｍ Ｏ Ｆ 是早期的死亡原因。结论 Ｓ Ａ Ｐ 早期应有选择性地采用手术治疗。

Objective To investigate operation indication for severe acute pancreatitis(SAP).Methods We retrospectively analyze death causes of 11 cases of SAP of grade Ⅱ that were treated by non-operative methods.Results All the patients died in the early course of the disease.The complications of MOF and shock were the main causes of their deaths.Conclusion In the early course of SAP,operation should be considered as a therapeutic method according to their different pathophysiology changes.