重症急性胰腺炎早期非手术治疗的再认识

Re-analysis of nonoperative treatment for servere acute pancreatitis in early stage in 51 patients

目的 :探讨重症急性胰腺炎的早期治疗方法。方法 :对 80例急性重症胰腺炎资料分别采用早期手术治疗和早期非手术治疗的两种方法进行回顾分析 ,并对病死率及主要并发症进行总结。结果 :1992年 1月～ 1994年 12月的 2 9例患者经早期手术治疗 ,病死率和并发症发生率分别为 5 5 .2 %和 93.1% ,1995年 1月～ 2 0 0 0年 12月的 5 1例经早期非手术治疗 ,病死率和并发症发生率分别为 2 3.5 %和 5 1.0 %。两组比较差异有显著性 (P <0 .0 1)。结论 :对急性重症胰腺炎患者采用早期非手术治疗能降低病死率和并发症发生率。

Objective:To discuss the choice of treatment for servere acute pancreatitis in early stage.Methods:The 80 patients with severe acute pancreatitis were treatment by operation and nonoperative method respectively in the early period,and analsyse the mortality rate and main complications.Results:From 1992 to 1994,29 cases were treatment with operation,and the mortality and the rate of occurrence of complcations were 55.2 percent and 93.1 percent respectively. From 1995 to 2000,the 51 cases were treatment with nonoperative method,and the mortality and the rate of occurrence complication were 23.5 percent and 51.0 percent respectively. There was comparative difference between two groups(P<0.01).Conclusion:Treatment with early nonoperative method in the cases with severe acute pancreatitis.