进行性重症胰腺炎的围术期处理体会

Perioperative Therapy of Progressive Severe Acute Pancreatitis

目的探讨进行性重症胰腺炎围手术期处理方法,为其今后的临床治疗提供参考。方法对32例行外科手术治疗的进行性重症胰腺炎患者的临床资料进行回顾性分析。结果行急诊手术治疗12例,治愈7例,死亡5例,病死率为41.7%,术后发生并发症3例(25.0%);择期手术治疗20例,治愈16例,死亡4例,病死率为20.0%,术后发生并发症3例(15.0%)。结论对进行性重症胰腺炎患者选择适当的手术时机,给予充分的围术期处理可显著提高其治愈率,降低病死率及减少并发症的发生。

Objective To discuss the perioperative therapy of progressive severe acute pancreatitis, and to provide a reference for clinical treatment. Methods Data of 32 patients who underwent surgical treatment for progressive severe acute pancreatitis were retrospectively analyzed. Results Twelve patients were treated by emergency operation. Among them, 7 were cured, 5 died （41.7%）and 3 had postoperative complications （25.0%）. Other 20 patients were treated by selective operation. Among them, 16 were cured, 4 died（20.0%）and 3 had postoperative complications（15.0%）＇ Conclusion The selection of appropriate timing of surgery and adequately perioperative treatment can increase cure rate and reduce mortality rate and complications in patients with progressive severe acute pancreatitis.