摘要
目的:探讨分析急性重症胰腺炎非手术治疗的效果和中转手术的指征。方法:回顾分析我院2000年9月至2007年12月对104例急性重症胰腺炎采用非手术治疗的治疗措施及治疗效果。结果:104例中治愈86例(82.6%),死亡10例(9.6%),中转外科手术8例(7.6%),出现并发症24例(23.0%)。结论:急性重症胰腺炎采用积极的非手术治疗可获得满意疗效,中转手术的指征为胰腺坏死组织继发感染、不能控制的胆道感染及治疗期间出现其他外科并发症。
Objective： To investigate the efficacy of nonoperative management and indication of conversire surgical intervention of severe acute pancreatitis （ SAP ）. Methods： From Sep. 2000 to Dec. 2007,104 patients with SAP were treated by nonoperative management in our hospital. The mortality, complications and indication of conversive operation of these patients were retrospectively studied. Results：86 patients of 104 cases with SAP were cured（82.6%） and 10 patients （ 9.6% ） died. There were 24 cases（23.0% ） developed various complications in the course of management. Eight patients （ 7.6% ） were converted to surgical intervention. Conclusion： The efficacy of nonoperative management is satisfactory in patients with SAP. If the patient developes pancreatic infection, uncontrolable biliary infection or surgical complications, the surgical intervention must be undergo in time.
出处
《河北医学》
CAS
2008年第11期1330-1332,共3页
Hebei Medicine
关键词
急性重症胰腺炎
非手术治疗
Severe acute pancreatitis ： Nonoperative treatment
