目的探讨胆源性重症胰腺炎的非手术治疗。方法回顾性总结与分析近8年来海南省人民医院收治胆源性重症胰腺炎40例的临床资料。结果40例病人中,3例因胆总管下端结石嵌顿而中转手术,33例经非手术治愈(82.5%),总死亡5例,其中多器官功能衰竭3例,ARDS和胰性脑病各1例。结论胆源性重症胰腺炎除胆总管下段结石嵌顿应尽早手术外,绝大多数病例可行非手术治疗。 Objective To investigate the non-surgical treatment of biliary severe acute pancreatitis. Methods The clinical data of 40 cases of severe biliary pancreatitis admitted to Hainan Provincial People ’s Hospital during the recent 8 years were retrospectively summarized and analyzed. Results Of the 40 patients, 3 were transferred by stone incarceration of the common bile duct, 33 were non-operatively cured (82.5%), and 5 were fatal. Among them, 3 were multiple organ failure, 1 was ARDS and 1 was pancreatic encephalopathy example. Conclusion In addition to the bile duct stones in the lower bile duct stones should be treated as soon as possible, the vast majority of cases feasible non-surgical treatment.