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目的 :建立和实施重症急性胰腺炎 (SAP)规范化“个体化治疗方案”。方法 :回顾分析我院 1998～ 2 0 0 2年收治的 6 2例SAP的治疗 ,对比观察SAP非规范化治疗组与规范化“个体化治疗方案”组的并发症发生率、病死率和平均住院天数。结果 :规范组的并发症 (成人呼吸窘迫综合征、肾功能不全、心功能不全、胰腺脓肿 )发生率和病死率均低于非规范组 (P <0 .0 5～P<0 .0 0 5 ) ,住院天数亦明显低于非规范组 (P <0 .0 0 1)。结论 :SAP规范化“个体化治疗方案”能缩短病程 ,提高治愈率。
Objective: To establish and implement a standardized “individual treatment plan” for severe acute pancreatitis (SAP). Methods: 62 cases of SAP treated in our hospital from 1998 to 2002 were retrospectively analyzed. Complications, mortality and average days of hospitalization were compared between the SAP non-standardized treatment group and the standardized individualized treatment group . Results: The incidence of complication (adult respiratory distress syndrome, renal insufficiency, cardiac insufficiency, pancreatic abscess) and mortality in the norm group were lower than those in the non-norm group (P <0.05 ~ P <0.05 5), and the number of days of hospitalization was significantly lower than that of the non-canonical group (P <0. 001). Conclusion: SAP standardized “individualized treatment plan” can shorten the course of the disease and improve the cure rate.