急性重症胰腺炎的治疗探讨

Study of treatment for severe acute pancreatitis

目的 探讨急性重症胰腺炎 (SAP)的治疗选择。方法 回顾性分析该院 10年治疗的SAP并按治疗方式进行分组。结果 全组共 114例 ,共发生各种并发症 2 0 6例次 ,死亡 2 6例 (2 2 .8% )。死因中最常见的是多器官功能衰竭 (MOF ,80 .77% )。早期引流术 5 0例 ,并发症 116例次 ,死亡 15例 (30 % ) ;晚期引流术 38例 ,并发症 5 7例次 ,死亡 7例 (18.4 2 % ) ;开放引流术组 2 6例 ,并发症 70例次 ,死亡 6例 (2 3.0 8% ) ;闭合引流术 6 2例 ,并发症 10 3例次 ,死亡 16例 (2 5 .81% ) ;非手术治疗 2 6例 ,并发症 33例次 ,死亡 4例 (15 .38% )。结论 对SAP应采用个体化治疗原则 ,早期宜采用非手术治疗。

Objective: Study the choice of the treatments for the severe acute pancreatitis(SAP).Methods: The cases of SAP in their hospital during 10 years were analyzed and were divided 5 groups into.Results:114 cases of SAP were treated in total.Among them ,there were 206 cases/times of complications and 26 (22.8%) cases of death. The most common cause of death of SAP was MOF(80.77%).The number of complication and death were 116 and 15 (30%);57 and 7 (18.42%);70 and 6(23.08%);103 and 16 (25.81%);53 and 4 (15.32%) in the drainage operation of early,late,open,close and non-operation group respectively. Conclusions:”Individualtreatment” principle should be adopted for SAP and the non-operation treatment deserves to be adopted for the first choice in early period of SAP.