摘要
目的:总结急性重症胰腺炎(SAP)内科治疗的经验。方法:回顾性分析60例患者的内科治疗方法。结果:在常规治疗的基础上,尽早抑制胰腺分泌和胰酶活性;早期使用广谱抗生素;及时给予肠内营养。60例患者中拒绝治疗2例,治愈55例(95%),死亡3例(5%)。结论:SAP的内科治疗疗效显著,可减少或避免手术。
Objective： To summarize the experience of combined treatment of internal medicine in severe acute pancreatitis （SAP）. Methods： The combined treatment methods of 60 cases with SAP were analyzed retrospectively. Results： Based on routine treatment, 60 patients with SAP were received treatment such as inhibiting the pancreatic enzyme secreting and pancreatic enzyme activity, using the broad - spectrum antibiotics early, giving the enteral nutrition in time. Among 60 cases ,2 cases refused the treatment,55 cases（95% ） were cured and 3 cases （ 5% ） died. Conclusion： Combined treatment of internal medicine is effective and may decrease or avoid operation in the treatment of SAP.
