重症急性胰腺炎手术治疗及并发症防治

目的研究和探讨通过手术方法治疗重症急性胰腺炎(SAP)及其并发症的防治工作。方法将58例从2007年2月2011年2月期间接受手术治疗SAP患者的病例进行回顾性分析。手术后共有21名患者发生严重并发症,占总体比例为36.2%,6名患者死亡。结果在手术治疗的58例SAP患者中,52例治愈,治愈率达89.7%,6例死亡,死亡率10.3%。结论术后并发症是SAP患者死亡的主要原因,并发症的早期预防工作以及治疗方法是影响预后的重要因素。无论是术中还是对并发症的防治工作都应该采取个体化原则,这是降低死亡率、提高抢救成功率的重要保障。

Objective Research and study by the surgical treatment of severe pancreatitis（SAP） and its prevention and treatment of complications.Methods 58 cases from February 2007 to February 2011 period in our hospital for surgical treatment of SAP patients were retrospectively analyzed.A total of 21 patients after surgery,serious complications,and the overall ratio of 36.2%,six patients died.Results In the surgical treatment of 58 patients with SAP,52 patients were cured,the cure rate was 89.7%,6 deaths,the mortality rate of 10.3%,Conclusion Postoperative complications in patients with SAP is the leading cause of death,early prevention of complications work and treatment is an important prognostic factor.Whether surgery or prevention of complications should be taken to the principle of individuation,which is to reduce mortality,improve the success rate is an important guarantee.