出血坏死性胰腺炎手术时机和术式选择

CHOICE OF THE OPERATIVE OPPORTUNITY AND WAY IN THE HEMORRHAGIC AND NECROTIZING PANCREATITIS

回顾1986年11月至1992年5月间手术治疗的41例急性出血坏死性胰腺炎,手术治愈率为70.7％,住院病死率为29.3％,认为早期手术是提高治愈率的关键,胰坏死组织清除加局部灌洗引流为首选术式。

41 patients with acute hemorrhagic necrotizing pancreatitis treated surgically from November, 1986 to May, 1992 were investigated retrospectively. It is showed that the survival rate was 70.7% and the mortality was 29.3%. It suggested that the key of elevating the survival rate was early operation. Necrosectomy with postoperative local lavage of the necrotic cavity of the pancreas was the first selective way of treatment for the acute hemorrhagic necrotizing pancreatitis.