摘要
目的 探讨重症急性胰腺炎 (SAP)的合理治疗方案。方法 以 1983～ 1992年的38例SAP为早期手术治疗 (A组 ) ,1992～ 1999年的 5 6例SAP为早期非手术治疗 (B组 )。比较两组的主要并发症及死亡率。结果 B组急性呼吸窘迫综合征、休克、肾衰、心衰、继发感染和死亡率均明显低于A组 (P <0 .0 0 1)。死亡原因主要为器官功能衰竭及继发感染。结论 早期非手术方法可以治愈大多数胰腺炎。胰腺组织坏死继发严重感染可行后期手术治疗 。
Objective To explore a proper treatment programme of severe acute pancreatitis(SAP). Methods A comparison of the incidence of complication and the mortality was made between group A (38 cases of SAP treated by surgery in the early stage of SAP from 1989 to 1992) with group B (56 cases of SAP treated by non surgery in the early stage of SAP form 1992 to 1999). Results ARDS, shock, renal failure, heart failure, secondary infection and mortality in group B were significantly lower than those in group A (all P<0.01). The causes of death were multiple organ failure and secondary infection. Conclusons Most cases of SAP can be curred by non surgery in the early stage of SAP, secondary infection of the pancreatic necrozing tissue in the late stage of the disease should be treated surgically mainly by surgical drainage adquently.
出处
《中国普通外科杂志》
CAS
CSCD
2001年第4期302-304,共3页
China Journal of General Surgery
关键词
胰腺炎
治疗
急性病
对比研究
PANCREATITIS/ther
ACUTE DISEASES
COMPARATIVE STUDY
