治疗重症急性胰腺炎93例  

TREATMENT OF 93 CASES WITH SEVERE PANCREATITIS

作　　者：徐铨[1] 金慧成[1] 夏金声[1] 

机构地区：[1]杭州市第一人民医院普外科,杭州310006

出　　处：《急诊医学》1997年第3期148-149,共2页

摘　　要：本文报告我院治疗重症急性胰腺炎（SAP）93例的临床资料，重点讨论了手术指征及非手术处理方法。90年前治疗组31例，手术率93．5％，死亡率为48％。90年以后，1）改变了一经确诊即行手术的观点，加强和改善了早期的非手术处理，重视预防SAP的继发感染。2）放弃了广泛松动胰腺的手术方法，强调引流与灌洗。因此，90年以后的62例，手术率降为48．3％，死亡率降至14．5％。1) Aims: To evaluate effect of different treatment procedure on severe acute pancreatitis. 2) Meth-ods: 93 consecutive patients with SAP were divided into group A (n= 31 ) and group B (n= 62) according to the ad-mission time from Jan. 1985 to Dec. 1996- Almost all patients were treated with trditional operating procedure be-sides the regular treatment in group A. In group B the ma jority of them were assigned to receive intensive treat-ment plus some procedures preventing pancreatic sepsis. 3)Results: In group A oprerating rate was 93. 5 %. Overallmortality was 48%. In group B operating rate was 48. 3%. Total mortality was 14. 5 %. 4) Conclusion: Intensivesupporting treatment with some adjuant procedure preventing infection significantly reduces morlidity and mortalityin patients with severe acute pancreatitis.

关 键 词：急性 胰腺炎 手术 治疗 

分 类 号：R657.51[医药卫生—外科学]