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目的:探讨总结急性重型胰腺炎的临床诊治体会。方法:选取我院2007年7月~2014年7月收治的急性重型胰腺炎患者25例,对急性重型胰腺炎的临床特征与治疗方法进行回顾分析。结果:常规基础治疗14例,12例痊愈,2例死亡。手术治疗9例,3例胆源性SAP患者采取胆总管切开减压并T管引流术后治愈,2例胰腺炎坏死感染患者进行清创引流术后治愈1例,另1例因感染为控制导致MODS持续加重致死亡,3例胰腺炎假性囊肿空肠内引流术后治愈。结论:通过准确把握急性重型胰腺炎的特征,选择恰当的治疗方式,及时纠正全身病理、生理紊乱,积极进行早期治疗,能够极大的提高急性重型胰腺炎患者的治愈率,减少死亡率。
Objective: To summarize the experience of clinical diagnosis and treatment of acute severe pancreatitis. Methods: 25 cases of acute severe pancreatitis admitted from July 2007 to July 2014 in our hospital were retrospectively analyzed. The clinical features and treatment of acute severe pancreatitis were retrospectively analyzed. Results: The routine basic treatment in 14 cases, 12 cases recovered, 2 patients died. Surgical treatment of 9 cases, 3 cases of biliary SAP patients with choledocholithotomy decompression and T tube drainage and cure, 2 cases of pancreatitis necrosis infection patients after debridement and drainage were cured in 1 case, another case of infection due to Control led to the continued increase in MODS death, 3 cases of pancreatitis pseudocyst jejunum after drainage cure. Conclusion: Accurately grasping the characteristics of acute severe pancreatitis, choosing the appropriate treatment, timely correcting systemic pathology and physiological disorders, and actively carrying out early treatment can greatly improve the cure rate and reduce the mortality of patients with acute severe pancreatitis.