重症急性胰腺炎的治疗(附103例报告)  

Treatment of severe acute pancreatitis(A report of 103 cases)

作　　者：王小康[1] 梁柳森[1] 陈绵龄[1] 

机构地区：[1]广州市第一人民医院胰脾外科,510180

出　　处：《岭南现代临床外科》2006年第2期89-90,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨重症急性胰腺炎(severeacutepancreatitis,SAP)的治疗方法及其疗效。方法回顾性分析我院1999年1月～2005年7月收治的103例重症急性胰腺炎的治疗情况,其中非手术治疗67例(65.04%),手术治疗36例(34.95%)。结果总治愈率78.64%(81/103),总病死率21.35%(22/103),总并发症发生率46.6%(48/103),其中非手术组并发症发生率38.8%(26/67),病死率14.92%(10/67),治愈率85.07%(57/67),手术组并发症发生率61.11%(22/36),病死率33.33%(12/36),治愈率66.66%(24/36)。结论正确掌握手术适应症和手术时机以及强调以非手术为主的个体化综合治疗方案是提高SAP疗效的重要措施。Objective To investigate the therapeutic methods and curative effect of severeacute pancreatitis （SAP）. Method From January 1999 to July, 103 cases with SAP were analyzedretrospectively. Among them, 67 cases underwent conservative treatment （65%）36 cases under wentoperative treatment （35%）. Results Total cure rate was 78.64%（81/103）. total fatality rate was21.35% （22/103）and total complication rate was 46.6% （48/103）. Among them,in the conservativetreatment group, the cure rate was 85.07%（57/67）,fatality rate was 14.92%（10/67）,complicationrate was 38.8%（26/67）and in the operative treatment group, the cure rate was 66.66%（24/36）,fatality rate was 33.33% （12/36）and the complieation rate was 61.11%（22/36）.Conclusion Fortaking an excellent curative effect,the operation indieation and operating timing of correct controllingand are very important to treat the severe acute pancreatitis.

关 键 词：重症急性胰腺炎 综合治疗 疗效 手术治疗 

分 类 号：R657.51[医药卫生—外科学]