重症胰腺炎的外科治疗（附67例疗效分析）  

Surgical treatment of serious pancreatitis:analysis of therapeutic effect in 67 cases

作　　者：陈宝公[1] 刘家治[1] 谷川[1] 郝明利 刘书德[1] 侯澎 钟友芳 黄耀权[1] 杨士琨[1] 

机构地区：[1]天津第二医学院附属第一中心医院

出　　处：《普外临床》1994年第2期85-86,共2页

摘　　要：作者对该院普外科６７例经手术证实的重症胰腺炎进行了分析。１９８５年以前以单纯腹腔引流为主治疗１５例，死亡率为４６．６％；１９８５年以后以腹腔灌洗、胰床广泛切开、多管引流等综合措施为主治疗５２例，死亡率为１９．２％。我们认为：早期手术、胰床广泛切开；术后加用腹腔灌洗，彻底引流以及及时进行重症监护等综合措施对改善重症胰腺炎的疗效具有重要作用。Abstract Sixty seven cases with surgically diagnosed serious pancreatitis from 1973to 1992 were analysed retrospectively .15 cases were managed by simple celiac drainage with mortality of 46.6% before 1985, while 52 cases were treated after 1985, with the comprehensive regimen:peritoneal lavage; extensive incision and debridement of pancreatic bed and retroperitoneal areas, as well as drainage with multiple catheters etc. and the mortality of this group was 19.2% .The results suggested that early operation ,extensive incision of pancreatic bed, postoperative peritoneal lavage,thorough drainage and prompt intensive care and so on were the mainstay of the surgical treatment of serioucs pancreatitis .

关 键 词：胰腺炎 外科手术 重症 

分 类 号：R657.51[医药卫生—外科学]