重症急性胰腺炎外科干预应注意的几个问题

Several notable issues on surgical intervention of severe acute pancreatitis

重症急性胰腺炎（severe acute pancreatitis,SAP）是一种病情凶险、治疗棘手的急腹症,其病死率可达30%(1)。外科手术治疗SAP已有百余年的历史,发展至今,外科干预的必要性已无可非议,但对外科干预指征、时机的把握以及方式的选择仍有需要注意的问题。1微创化与多元化的辩证统一对于SAP的治疗,既往曾追求早期行扩大胰腺切除并强行清除坏死组织,然而,该术式破坏性极大,极易导致出血、胰瘘、肠瘘等并发症,

Severe acute pancreatitis（SAP）is a common clinical abdomen,patients often have rapid onset and high fatality rate.Surgical intervention is indispensable in the treatment of SAP,but there is still a need to pay attention to timing,indication and procedure.