重症急性胰腺炎死亡原因分析

The analysis on the causes of death in severe acute pancreatitis (SAP)

目的探讨重症急性胰腺炎(severe acute pancreatitis,SAP)的死亡原因。方法总结分析2家医院近10年来重症急性胰腺炎患者78例,其中,死亡21例,死亡率为26.92%。结果死亡原因主要为呼吸窘迫综合征(占42.86%)、感染性休克(占28.57%)、多器官功能衰竭(占23.81%)、消化道出血(占4.76%)。结论更进一步认识重症急性胰腺炎的死亡原因,加强患者入院后的早期监护及综合性治疗;同时加强对伴有高血压等严重的合并症患者的监测和处理,对降低SAP死亡率具有重要意义。

Objective To discuss on the causes of death in severe acute pancreatitis （SAP）. Methods The 78 cases of severe acute pancreatitis patients of two hospitals in the past 10 years were summarized and analyzed, among them, the death in 21 cases, the death rate was 26.92%. Results The main death of the patients were the result of adult respiratory distress syndrome （ARDS, accounted for 42.86%）, septic shock （accounted for 28.57%）, multiple organ dysfunction syndrome （MODS, accounted for 23.81%）, hemorrhage of gastrointestinal （accounted for 4.76%）. Conclusion Further understanding the causes of death in severe acute pancreatitis, strengthen the patients admitted to hospital after the early monitoring and comprehensive treatment; At the same time, strengthen the monitoring and treatment of the patients which has hypertension and other serious comorbidities, which will make important significance to reduce the mortality of SAP.