急性胰腺炎37例治疗分析

A study of 37 cases of acute pancreatic treatment.

目的 :研究 37例急性胰腺炎 (acutepancreatitis ,AP)的治疗经过 ,提出治疗方案。方法 :总结本组临床资料 ,以AP的临床诊断标准 ,〔1〕将其分为轻型急性胰腺炎 (mildacutepancreatitis,MAP)和重症急性胰腺炎 (severeacutepancreatitis ,SAP)两组进行分析。结果 :MAP患者 2 9例 ,均保守治疗成功治愈率 10 0 % ;SAP患者 8例 ,治愈 6例 ,手术 5例 ,死亡 2例。结论 :对于MAP患者 ,通过保守治疗 ,均可治愈或好转 ;对于胆源性SAP患者 ,先按MAP保守治疗 ,当出现胰腺坏死感染或多系统器官衰竭 (multiplesystemorganfailure ,MSOF)时转入手术治疗。治疗中善得定 (Sandostatin)

OBJECTIVE:To study the treatment of 37 cases of acute pancreatitis. METHODS:Analyze the treatment of mild acute pancreatitis and sever acute pancreatitis according to the diagnosis standard. RESULTS:There were 29 cases of mild acute pancreatitis, all of them were cured. There were 8 cases of sever acute pancreatitis, 5 of them were operated, 2 of them were died. CONCLUSION:Nonoperation treatment must be first to patients with AP, operation is performed on SAP with pancreatic infection and organ failure. Sandostatin has a good effect on the acute pancreatitis.