重症急性胰腺炎116例临床分析  

Clinical Analysis of Severe Acute Pancreatitis in l l6patients

作　　者：李银和[1] 杨国成[1] 

机构地区：[1]达州市中心医院,四川达州

出　　处：《世界最新医学信息文摘》2012年第2期55-57,共3页World Latest Medicine Information Electronic Version

摘　　要：目的探讨重症急性胰腺炎的临床特点及有效治疗方法，以提高对重症急性胰腺炎的诊治水平。方法回顾分析116例重症急性胰腺炎患者的临床资料，并分析其诊治的临床效果。结果总并发症发生率44．8％（52/116），总病死率29．3％（34／116），总治愈率70．7％（82／116），并发症发生率：保守治疗组为46．8％（30／64），外科手术治疗组为42．3％（22／52），P〉0．05；病死率：保守治疗组31．3％（20／64），外科手术治疗组为26．9％（14／52），P〉0．05；治愈率：保守治疗组为71．9％（46／64）。外科手术组为69．2％（36／52），P〉0．05。结论正确地把握重症急性胰腺炎的治疗时机与指征，合理选择治疗方式，对于决定重症急性胰腺炎的预后至关重要，Objective Explore the clinical features and the treatment of severe acute pancreatitis （ SAP ） in pa- tients and to improve the level of diagnosis and treatment of SAP. Methods Review clinical infomlination of the clinical data of 116 patients diagnosised as SAP between 2002 to 2011 in the hospital ,and evaluation of efficacy. and the treatment outcomes of SAP in 116 patients were observed. Results In this group, overall incidence of comlication, overall mortality and overall curative rate were 44. 8% （ 52/116 ）, 29. 32% （ 34/116 ）, and 70. 7% （ 82/116 ）, respectively, The incidences of complication in non - operative group and in surgical intervention group were 46. 9% （ 30/64 ） and 42 . 3% （ 22/52 ）, respectively （ P 〉 0.05 ）. The mortality in no - operative group and in surgical intervention group Were 31.3% （ 20/64 ） and 26.9% （ 14/52 ）, respectively （ P 〉 0.05 ）, The curative rates in non - operative group and in surgical intervention group were 71.87% （ 46/64 ） and 69.2% （ 36/52 ）, respectively （ P 〉 0. 05 ） .Conclusion Appropriate choice of treatment timing and the indications and treatment are crucial for the prognosis of SAP.

关 键 词：胰腺炎 暴发性胰腺炎 胆源性胰腺炎 

分 类 号：R576[医药卫生—消化系统]