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目的探讨重症急性胰腺炎外科治疗的时机和方式选择。方法回顾性分析1992年7月至2008年10月本院收治216例SAP患者的临床资料。结果总并发症发生率为47.2%(102/216),总死亡率为17.6(38/216),总治愈率为82.4%(178/216)。结论重症急性胰腺炎患者的病情进展快,治疗难度大,风险高,要高度重视外科治疗的时机及方法。早期治疗明显降低病死率及缩短住院时间,安全可行。
Objective To explore the timing and method of surgical treatment of severe acute pancreatitis. Methods The clinical data of 216 patients with SAP admitted in our hospital from July 1992 to October 2008 were retrospectively analyzed. Results The overall complication rate was 47.2% (102/216). The overall mortality rate was 17.6 (38/216). The overall cure rate was 82.4% (178/216). Conclusion Severe acute pancreatitis patients with advanced disease progression, the treatment is difficult, high risk, we should attach great importance to the timing of surgical treatment and methods. Early treatment significantly reduces mortality and shorten the hospital stay, safe and feasible.