摘要
探讨重症急性胰腺炎（SAP）早期手术治疗的可行性。方法21例患者分成3组。发病1天内手术者为1组，2～3天为Ⅱ组，4～7天为Ⅲ组。胰腺被膜切开减压，胰床充分引流，适当清除胰腺坏死组织。结果早期手术21例，死亡2例，死亡率9．5％。结论1．SAP早期手术是可行的。2．手术疗效与手术方式的改进、手术适应症的选择及手术时机有关。
Objective To invest the feasibility of the early surgical treatment for severe acute pancreatitis. Methods 21 patients were divided into three groups: 7 patients were operated within one day; 11 cases two～three days; 3 cases 4～7days. The operating procedures were:to decompress pancreatic capsule、fully drain pancreatic bed and clear off necrotic tissues properly. Results 21 patients received early surgical treatment. Two of them died. The mortality rate is 9. 5 %. Conclusion 1. It was feasible to dealwith severe acute pancreatitis early and surgically;2. The curative effects were associated with the improvement of operating procedures、indications and opportunity.
出处
《肝胆外科杂志》
1998年第6期349-350,共2页
Journal of Hepatobiliary Surgery
