64例急性重症胰腺炎早期非手术治疗的临床分析  

Clinical analysis of non-surgical treatment for early stage of 64 cases with severe acute pancreatitis

作　　者：肖建萍[1] 陈旭平[1] 

机构地区：[1]成都市第六人民医院消化内科,四川成都610051

出　　处：《四川医学》2013年第12期1862-1864,共3页Sichuan Medical Journal

摘　　要：目的 探讨并比较重症急性胰腺炎的非手术治疗和手术治疗的疗效.方法 纳入我院2009年~2011年收治急性重症胰腺炎患者64例作研究对象,根据患者入院2周内是否行外科手术治疗,分为非手术治疗组（简称A组）和手术治疗组（B组）,比较手术组与非手术组的主要并发症发生率和死亡率.结果 手术组死亡率和并发症明显高于非手术组,两组死亡率及并发症发生率比较,差异有统计学意义（P〈0.05）.结论 重症急性胰腺炎采用早期非手术治疗能有效降低死亡率和并发症发生率.非手术治疗方法应该作为大多数重症急性胰腺炎患者的首选治疗方法.Objective To compare and discuss the effect between surgical therapy and non-surgical therapy to severe a- cute pancreatitis. Methods 64 cases of patients with severe acute pancreatitis treated in our hospital from 2009 to 2011 were se- lected as the research object. The incidence of main complications and mortality between the surgical group and non-surgical group were compared. Results The mortality and complications of the surgical group were higher than those of the non-surgical group, the differences were statistically significant （P 〈 0.05 ） i Conclusion Early non-surgical treatment for severe acute pancreatitis can reduce the mortality and incidence of complications effectively. Non-operation treatment should based as the preferred method of treatment the majority of patients with severe acute pancreatitis.

关 键 词：重症急性胰腺炎 早期 非手术治疗 手术治疗 

分 类 号：R657.51[医药卫生—外科学]