重症急性胰腺炎58例治疗体会

昌祥

重症急性胰腺炎58例治疗体会

昌祥

Treatment of severe acute pancreatitis:A report of 58 cases

CHANG Xiang

摘要

摘要: 目的:探讨重症急性胰腺炎(SAP)的合适治疗方案。方法:收集1998年6月~2006年1月经我科收治的58例重症急性胰腺炎病例,并对治疗方案与治疗效果进行回顾性分析。结果:总并发症发生率44.8%,总病死率29.3%,总治愈率70.7%,保守治疗组并发症发生率为46.9%,外科手术治疗组为42.3%;保守治疗组病死率为31.3%,外科手术治疗组为26.9%;保守治疗组治愈率为71.9%,外科手术组为69.2%,两组差异均无统计学意义(P>0.05)。结论:正确把握重症急性胰腺炎的治疗时机与指征,合理选择治疗方式,对于决定重症急性胰腺炎的预后至关重要。

Abstract: Objective: To investigate an optimal therapy for severe acute pancreatitis(SAP).Methods: The clinical data of 58 cases of severe acute pancreatitis treated in our department from June 1998 to January 2006 were reviewed retrospectively,and the therapy and results were analyzed.Results: The overall incidence of complication,fatality rate and cured rate were 44.8%,29.3%,and 70.7%,respectively.The incidence rates of complication in non-surgery group and surgical intervention group were 46.9% and 42.3%,(P>0.05),respectively.The fatality rate in non-surgery group and surgical intervention group were 31.3% and 26.9%,respectively(P>0.05).The cured rates in non-surgery group and surgical intervention group were 71.9% and 69.2%,respectively(P>0.05).Conclusions: Grasp of treatment time,indications and choice of treatment are vital to the prognosis of SAP.

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