重症急性胰腺炎治疗方法的临床探讨  

Clinical analysis on management of severe acute pancreatitis

作　　者：马木提江[1] 温浩[1] 陈启龙[1] 迪理拜尔 

机构地区：[1]新疆医科大学第一附属医院普外科,乌鲁木齐830054 [2]喀什市人民医院

出　　处：《胰腺病学》2004年第2期102-104,共3页Chinese JOurnal of Pancreatology

摘　　要：目的　探讨重症急性胰腺炎 (severe acute pancreatitis,SAP)患者手术时机与指征。方法回顾性分析我院 1999年 1月 ～ 2 0 0 4年 1月 79例 SAP患者的治疗方法 ,手术时机选择与并发症发生率、病死率。结果　本组收集患者 79例 ,其中非手术治疗 2 8例 ,早期手术治疗 33例 ,延期手术治疗 18例。非手术组、早期手术组、延期手术组的并发症发生率分别为 7.14 % (2例 )、33.33% (11例 )和 11.11% (2例 ) ,各组病死率分别为 3.5 7% (1例 )、15 .15 % (5例 )和 5 .5 6 % (1例 ) ,早期手术组明显高于其他两组。结论　 SAP的治疗选择是直接影响预后的重要因素 ,应根据 SAP的病情实施个体化治疗方案。Objective To discuss timing and indication of surgery for severe acute pancreatitis (SAP).Methods Clinical data of 79 patients with SAP who received treatment in our hospital between January 1999 and January 2004 were reviewed retrospectively with regard to therapeutic method,timing of surgery,indication,morbidity and mortality.Results Of the 79 SAP patients,28 patients received non-surgical treatment,33 patients received early surgical treatment,and the remaining 18 patients received delayed surgical treatment. The morbidity rate and mortality rate in the non-surgery,delayed surgery and early surgery groups were 7.14%(2/28)and 3.57%,33.33%(11/33)and 15.15% (5/33),and 11.11%(2/18)and 5.56% (1/18),respectively. The morbidity rate and mortality rate of the early surgery group were significantly higher than those of the other two groups.Conclusions Selection of the therapeutic method for SAP is an important factor affecting the prognosis of SAP and should be designed according to the condition of individual patients.

关 键 词：重症急性胰腺炎 非手术治疗 手术治疗 手术时机 并发症 

分 类 号：R657.5[医药卫生—外科学]