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目的:总结急性胰腺炎的诊疗体会,为提高急性胰腺炎的诊疗效果提供临床资料。方法:以我院2011年1月～2012年1月期间收治的67例急性胰腺炎患者为研究对象。根据临床诊断分型,将67例患者分为急性水肿型胰腺炎和急性出血坏死型胰腺炎。其中15例急性出血坏死型胰腺炎患者行手术治疗;52例急性水肿型胰腺炎患者行药物治疗。结果:本组52例水肿型胰腺炎经过药物治疗后均治愈。15例急性出血坏死型胰腺炎患者14例患者经全面的手术治疗后痊愈;1例患者合并多脏器功能衰竭的患者术后病情无缓解死亡。结论:加强急性胰腺炎诊断的准确性,应用手术和药物综合治疗体系可有效提高急性胰腺炎的治疗效果。
Objective: To summarize the experience of diagnosis and treatment of acute pancreatitis and provide clinical information for improving the diagnosis and treatment of acute pancreatitis. Methods: A total of 67 patients with acute pancreatitis admitted to our hospital from January 2011 to January 2012 were enrolled in this study. According to the clinical diagnosis of type, 67 patients were divided into acute edematous pancreatitis and acute hemorrhagic necrosis pancreatitis. Among them, 15 cases of acute hemorrhagic necrotizing pancreatitis were treated surgically; 52 cases of acute edematous pancreatitis were treated with drugs. Results: The group of 52 cases of edematous pancreatitis were cured after drug treatment. Fifteen patients with acute hemorrhagic necrotizing pancreatitis recovered after complete surgical treatment. One patient with multiple organ failure did not relieve the disease after the operation. Conclusion: To improve the accuracy of diagnosis of acute pancreatitis, the application of comprehensive surgical and drug treatment system can effectively improve the therapeutic effect of acute pancreatitis.