重症急性胰腺炎33例临床分析  

Clinical analysis of 33 cases of severe acute pancreatitis

作　　者：章敢[1] 

机构地区：[1]滁州市第一人民医院普外科,安徽239000

出　　处：《安徽卫生职业技术学院学报》2006年第3期54-55,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:加强对重症急性胰腺炎的认识,探讨重症急性胰腺炎的有效治疗方法。方法:对我院1993年4月￣2005年4月收治的33例重症急性胰腺炎作回顾性分析。结果:33例病人中,治愈25例,死亡8例。行手术治疗12例,死亡5例;行非手术治疗21例,死亡3例。休克和MOF是主要死亡原因。结论:重症急性胰腺炎应坚持“个体化治疗”原则,采用手术治疗和非手术治疗并存的双轨制体系,早期以非手术治疗为主,应严格掌握手术指征。Objective To be fully aware of severe acute ment program for SAP. Methods A retrospective analysis of pancreatitis（SAP） and to investigate an effective treat- 33 cases of SAP treated from 1993 to 2005 was made . Results Among 33 patients, 25 patients were cured and 8 died. 12 cases underwent operative treatment, 5 patients died; and 21 cases underwent conservative treatment, 3 patients died. Shock and MOF were the main causes of the death. Conclusion SAP should be treated according to the ＂individualized therapy＂ principle, the dual system of operative treatment and conservative treatment may be used. The early stage of SAP should be conservative and operative indication of SAP should be strictly grasped.

关 键 词：重症急性胰腺炎 非手术治疗 手术指征 

分 类 号：R657.5[医药卫生—外科学]