急性重症胰腺炎早期手术治疗的重要性探讨  

The importance for early operation in severe acute pancreatitis treatment

作　　者：罗世成[1] 胡瑞祥[1] 章时彦[1] 郭建辉[1] 安庆霞[1] 

机构地区：[1]云南省第一人民医院普外科,昆明650032

出　　处：《临床外科杂志》2001年第5期277-278,共2页Journal of Clinical Surgery

摘　　要：目的　探讨急性重症胰腺炎 (SAP)早期手术治疗的重要性。方法　对 37例SAPⅡ级病例早期手术治疗 ( 19例 )和非手术治疗病人 ( 18例 )的病死率进行回顾性对照分析。结果　SAPⅡ级病例 ,非手术治疗组病死率为 88.9% ( 16/ 18) ,明显高于早期手术治疗组 42 .1% ( 8/ 19)。结论　SAP早期不应过分强调非手术治疗 ,正规非手术治疗的同时 ,根据病情适时有选择地采用手术治疗 ,有望进一步降低SAP的病死率。Objective To investigate the importance for early operation in severe acute pancreatitis (SAP) treatment. Method We retrospectively compared the mortality of 37 cases of SAP gradeⅡthat were treated by non-operative and early operative methods.Result The mortality of the nonoperative group was significantly higher than operative group (88.9% to 42.1%). Conclusion In the early course of SAP, nonoperative treatment should not overemphasized and,operation should be considered as a therapeutic method according to different pathophysiological changes.

关 键 词：重症急性胰腺炎 治疗 病死率 外科手术 

分 类 号：R657.51[医药卫生—外科学]