急性胰腺炎个体化综合治疗68例

The Individual and Comprehensive Management in Acute Pancreatitis

目的：对急性胰腺炎治疗模式转变进行回顾性分析，结合自身经验探讨个体化综合治疗的临床实用价值。方法：１９９４年～１９９７年我院共收治急性胰腺炎６８例，其中轻型（水肿型）３０例，重症（出血坏死型）３８例，均予个体化综合治疗。结果：轻型胰腺炎治愈率１００％，重症胰腺炎总的治愈率７９％。重症胰腺炎中早期手术（＜２周）治愈率７５％，非手术组治愈率８４％。结论：急性重症胰腺炎治疗方法，由以往一旦确诊便立即早期多次手术逐步转变为个体化综合治疗；选择合理手术时间和手术方式。

Objective:To investigate and analyse the clinical value of individual and comprehensive management (ICM) in treatment of acute pancreatitis (AP).Methods:From 1994 to 1997,68 patients with AP,including 30 cases of acute edematous pancreatitis (AEP) and 38 cases of acute necrotic pancreatitis (ANP) were treated by ICM.Results:The overall survival rates in AEP and ANP were 100% and 79%,respectively.For ANP,the survival rates in early operative group (in 2 weeks from onset) and ICM group were 75% and 84%,respectively.Conclusions:Introduction of individual and comprehensive management for treatment of acute pancreatitis and proper surgical schedule and modules may increase the survival rate of the disease.