摘要
目的：探讨急性重症胰腺炎的最佳治疗方案，为l临床治疗提供参考。方法：回顾性分析我院2000年1月-2008年12月收治的98例急性重症胰腺炎的治疗经过，其中手术治疗31例，非手术治疗67例，比较手术治疗法与非手术治疗法的治愈率、好转率、死亡率及并发症的情况。结果：手术组的治愈率及好转率高于非手术组，死亡率及并发症发生率低于非手术治疗组，P〈0．05，差异具有统计学意义。结论：急性重症胰腺炎患者早期不宜过分强调非手术治疗，应在非手术治疗的基础上，根据患者的病情适时地选择手术治疗，可有效地降低患者的病死率和并发症发生率。
Objective： To explore the optimal scheme for the treatment of severe acute pancreatitis, provide the reference for the clinical treatment. Methods： Retrospective analysis of our hospital in 2000 Januar - 2008 December, 98 cases of severe acute pancreatitis treatment after operation, the treatment of 31 cases of non-surgery therapy, 67 cases, comparison operation and non-surgery treatment method treatment cure rate, recovery rate, mortality and complications. Results： The operation group cure rate and improvement rate is higher than the non-surgery group, mortality and the incidence of complications is lower than the non-surgery treatment group, P 〈 0.05, the difference was statistically significant. Conclusion： The patients with severe acute pancreatitis should not be too much emphasis on non-surgery treatment, should be in non-surgery therapy on the basis, according to the condition of patients timely choose operation treatment, can effectively reduce the mortality rate and the complication rate.
关键词
急性重症胰腺炎
手术治疗
非手术治疗
severe acute pancreatitis
operation treatment
the non-surgery
