摘要
目的:探讨重症急性胰腺炎(SAP)的治疗原则、手术治疗时机与方法,以降低并发症及死亡率。方法:回顾性总结和分析本院64例SAP临床资料。结果:全组患者治愈58例,死亡6例,死亡率为9.38%。保守治疗组39例,治愈37例,死亡2例,死亡率为5.13%。手术治疗组25例,治愈21例,死亡4例,死亡率为16.00%。急性期与延期手术比较,延期手术患者治愈率显著提高、并发症及死亡率明显降低。结论:SAP保守治疗应为首选治疗方案,SAP手术时机是影响死亡率的重要因素,应采用延期手术与"个体化治疗"相结合的处理原则。
Objective： To discuss the therapeutic principle, operation treatment timing and method of severe acute pancreatitis, in order to reduce the complications and mortality rate. Methods： Clinical data of 64 cases with SAP were summarized and analyzed retrospectively. Results： Among all cases, 58 cases were cured, 6 cases were death with the mortality rate of 9.38%. 39 cases in conservative treatment group, 37 cases were cured, 2 cases were death with the mortality rate of 5.13%. 25 cases in operation treatment group, 21 cases were cured, 4 cases were death with the mortality rate of 16.00%. Compared the acute phase operation with deferred operation, cure rate increased significantly in patients of deferred opera- tion, and complications and mortality rate significantly reduced. Conclusion： Conservative treatment should be taken as the first choice treatment with SAP, operation timing of SAP is the key factor influencing of mortality rate, and treatment principle of deferred operation combined with ＂ individualized treatment＂ should be adopted.
出处
《中国当代医药》
2011年第36期44-45,共2页
China Modern Medicine
关键词
重症急性胰腺炎
保守治疗
个体化治疗
手术治疗
手术时机
Severe acute pancreatitis
Conservative treatment
Individualized treatment
Operation treatment
Operation timing
