重症急性胰腺炎的治疗(附94例报告)  

Treatment of severe acute pancreatitis (a report of 94 cases)

作　　者：王焰[1] 田永祥[2] 谭效娣[1] 

机构地区：[1]陕西省西安市红十字会医院普外科,陕西西安710054 [2]焦作矿务局总医院普外科，河南焦作454001

出　　处：《中国普通外科杂志》2001年第4期302-304,共3页China Journal of General Surgery

摘　　要：目的　探讨重症急性胰腺炎 (SAP)的合理治疗方案。方法　以 1983～ 1992年的38例SAP为早期手术治疗 (A组 ) ,1992～ 1999年的 5 6例SAP为早期非手术治疗 (B组 )。比较两组的主要并发症及死亡率。结果　B组急性呼吸窘迫综合征、休克、肾衰、心衰、继发感染和死亡率均明显低于A组 (P <0 .0 0 1)。死亡原因主要为器官功能衰竭及继发感染。结论　早期非手术方法可以治愈大多数胰腺炎。胰腺组织坏死继发严重感染可行后期手术治疗 。Objective To explore a proper treatment programme of severe acute pancreatitis(SAP). Methods A comparison of the incidence of complication and the mortality was made between group A (38 cases of SAP treated by surgery in the early stage of SAP from 1989 to 1992) with group B (56 cases of SAP treated by non surgery in the early stage of SAP form 1992 to 1999). Results ARDS, shock, renal failure, heart failure, secondary infection and mortality in group B were significantly lower than those in group A (all P<0.01). The causes of death were multiple organ failure and secondary infection. Conclusons Most cases of SAP can be curred by non surgery in the early stage of SAP, secondary infection of the pancreatic necrozing tissue in the late stage of the disease should be treated surgically mainly by surgical drainage adquently.

关 键 词：胰腺炎 治疗 急性病 对比研究 

分 类 号：R657.510.5[医药卫生—外科学]