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人类对重症急性胰腺炎(SAP)的认识经历了漫长的时期,其诊治随着认识的进步而进步。SAP经历了手术、非手术、早期手术、手术和非手术治疗并重、“个体化治疗方案”的发展过程,目前处于手术和非手术两种治疗方案并存的阶段。以积极有效、综合的非手术治疗为主,手术只用于处理继发性感染等并发症以及特殊类型SAP。通过了解其演进过程而进一步对SAP有更全面且深刻的认识,提出更加合理的诊治方案。
The human understanding of severe acute pancreatitis (SAP) has gone through a long period of time, and its diagnosis and treatment have progressed with the progress of cognition. SAP has undergone the development of surgery, non-surgery, early surgery, surgery and non-surgical treatment, and “individualized treatment plan”. Currently, SAP is in the stage of both surgical and non-surgical treatment. A positive and effective, comprehensive non-surgical treatment mainly surgery is only used to treat complications such as secondary infection and a special type of SAP. By understanding its evolution process and further SAP has a more comprehensive and profound understanding of the proposed more reasonable diagnosis and treatment programs.