摘要
目的 :总结近 8年来重症胰腺炎的治疗经验。方法 :分非手术和手术二组 ,二组病人均在 ICU监护和治疗 ,分析二组病人治疗后的疗效。结果 :手术组 33例 ,死亡 11例 (32 .4% ) ,术后出现各种并发症和器官功能衰竭 15例 (44 % ) ,平均住院天数 87天。非手术组 2 0例 ,死亡 2例 (10 % ) ,并发症 9例 (45 % ) ,平均住院 34天。结论 :对 SAP采用早期外科手术的观点应当改变。外科手术在 SAP中的指征应是梗阻性胆源性胰腺炎和胰腺组织坏死继发严重感染。手术方式尽可能简化 ,以引流为主 ,能减少术后死亡率和并发症。
Objective:To summarize recent eight years experience in the treatment of severe acute pancreatitis.Methods:53 cases were divided into two groups for retrospective analysis. All the cases were observed and treated in ICU.Results: Of 33 operative cases ,11 diee(32.4%) and 15 had post operative complications and functional failure (44%) with mean hospitalization time being 87 days. Of 20 non operative cases ,the above index were 2 (10%),9 cases(45%) and 34 days seperately.Conclusion: The opinion of early surgical operation for SAP should be abandoned, except for the original biliary obstruction and pancreas tissue necrosis complicated by severe infection. The surgical procedure should be simple and efficient drainage in order to reduce the mortality and morbidity .
出处
《肝胆胰外科杂志》
CAS
2000年第2期70-72,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
胰腺炎
非手术治疗
外科手术
severe acute pancreatitis
surgical therapy
non surgical therapy
