非手术治疗重症急性胰腺炎43例临床体会

Non--surgical treatment of 43 cases of severe acute pancreatitis clinical experience

目的：探讨SAP的非手术治疗。方法：回顾性总结我科2006年6月～2012年7月非手术治疗SAP43例的经验。结果：治愈35例，好转2例，治愈、好转者的平均住院时间52．29d，并发器官功能不全19例（44．19％），死亡6例（13．95％）。结论：早诊早治，早纠正循环紊乱，早用胶体，早改善胰腺及肠道微循环，及早纠正电解质和糖代谢紊乱，早期氧疗，及早发现、救治器官功能不全，后期处理胰腺和胆道并发症，对提高SAP救治成功率非常重要。

Objective to investigate the non--surgical treatment of SAP. Methods a retrospective summary of our department from June 2006 to July 2006 SAP43 cases of non--surgical treatment experience. Results 35 cases cured,2 improved,cured,the better the average h9spitalization time of 52.29 days,con- current organ dysfunction in 19 （44.19 %）, 6 cases died （13.95 %）. Conclusion early detection treated early, early correction of circulation disorders, early with colloid, improving microdrculation of pancreas and intestinal, early early correction of electrolyte and glucose metabolism disorder, early oxygen therapy, early detection,treatment for organ dysfunction, post--processing of pancreas and biliary complications, to improve the SAP cure rate is very important.