重症急性胰腺炎手术时机与术式选择  

The operation timing and operative procedure for sevese acute pancreatitis

作　　者：戢运宏[1] 刘帮芝[1] 翁端舜[1] 

机构地区：[1]湖北省随州市中心医院普外科,湖北随州441300

出　　处：《中国普通外科杂志》2003年第9期650-652,共3页China Journal of General Surgery

摘　　要：目的　探讨重症急性胰腺炎 (SAP )的最佳手术时机及术式 ,方法　对收治的 5 6例患者并经手术治疗的临床资料进行回顾性分析。结果　 5 4例 (96.4% )在发病后 48h内手术 ,均治愈 ;2例(3 .6% )在发病后 5～ 6d手术者 ,均于术后 2 4h死于多器官衰竭。结论　SAP无论发病时间长短 ,只要病情在某一时期发展到具备特定的手术指征时即应尽早手术。Objective To investigate the operation timing and operative procedure for serious acute pancreatitis(SAP).Method To analyze retrospectively the clinic data of 56 cases treated by operation.Result 54 cases were cured,who treated by operation within 48h after SAP onset. All the 2 cases dead of multiple organs failure who underwent operation 5-6d after SAP onset.Conclusions When SAP advanced to have indications of operative treatment,an-operation should be done as early as possible, no metter the time from the onset of SAP is long or short.

关 键 词：胰腺炎/外科学 急性病 手术时机 

分 类 号：R657.51[医药卫生—外科学] R459.7[医药卫生—临床医学]