摘要
目的 加强对重症急性胰腺炎的认识 ,探讨重症急性胰腺炎的有效治疗方法。方法 对我院 1997～ 2 0 0 3年收治的 3 3例重症急性胰腺炎作回顾性分析。结果 3 3例病人中 ,治愈 2 8例 ,死亡 5例。行手术治疗 12例 ,死亡 2例 ;行非手术治疗 2 1例 ,死亡 3例。休克和MOF是主要死亡原因。结论 重症急性胰腺炎治疗宜采用手术治疗与非手术治疗并存在的双轨制体系 ,早期以非手治疗为主 ,应严格掌握手术指征。
Objectives To investigate the effective treatment of severe acute pancreatitis (SAP), and strengthen the understanding of severe acute pancreatitis. Methods The data of 33 patients with SAP from 1997 to 2003 were analyzed retrospectively. Results Among 33 patients, 28 patients recovered, 5 patients died. In 12 patients who received operation, 2 patients died; in 21 patients who received non-operative treatment, 3 cases died. Shock and multiple organ failure (MOF) were the main causes of their deaths. Conclusion We suggest that operation and non-operative treatment are same important for SAP. In early phase of disease, most patients should be treated with non-operative treatment. Operation indicatio should be limited strictly.
出处
《实用全科医学》
2004年第2期130-131,共2页
Applied Journal Of General Practice
关键词
重症急性胰腺炎
治疗
手术
SAP
生长激素
诊断
Severe acute pancreatitis
Non-operative treatment
Operation indicatio
Cause of death
