摘要
目的 探讨重症急性胰腺炎 (SAP)的治疗方法。方法 回顾性总结 1995～ 2 0 0 0年重症急性胰腺炎 83例的治疗资料。结果 其中保守治疗 37例 ,手术治疗 4 6例 ,治愈 6 9例 ,死亡 14例 ,总病死率为 16 .9%。重症 级 5 2例 ,死亡 4例 ;重症 级 31例 ,死亡 10例 ;重症 级、 级患者病死率分别为 7.7% ,32 .3% ,二组间差异有显著性意义 (P<0 .0 5 )。结论 SAP病死率与胰腺炎的严重性有显著相关性 ,应根据病情而选择治疗方案 ,手术时机是重要影响因素 。
Objective The purpose of this study was to explore the proper methods in treatment of severe acute pancreatitis(SAP).Methods We retrospectively reviewed the data on the treatment of 83 patients in severe acute pancreatitis in our hospital from 1995 to 2000.Results Conservative treatment was adopted in 37 patients,46 patients underwent surgical treatment,among them,69 recovered,and 14 died,the overall mortality was 16.9%.52 patients in grade Ⅰ,4 patients died;31 patients in grade Ⅱ,10 patients died.The mortality in grade Ⅰ and grade Ⅱ was 7.7% and 32.3%,There was statistical significance between the two groups(P<0.05).Conclusion The mortality rate of SAP is highly related with severity of pancreatitis.The treatment method should be selected according to the patient's condition,the laparotomy timing is an importand factor influencing mortality,the perioperative management is very important.
出处
《肝胆外科杂志》
2002年第2期101-103,共3页
Journal of Hepatobiliary Surgery
