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目的:对急性重症胰腺炎(SAP)患者进行综合治疗,并观察治疗效果,分析对SAP的有效治疗方法。方法:对本院2009年3月-2013年3月共收治的31例SAP患者进行综合治疗,包括液体复苏、胰腺分泌抑制类药物、抗生素应用、对衰竭脏器的功能扶持、手术等。结果:其中28例明显好转或治愈出院,放弃治疗1例,死亡2例。结论:SAP患者的综合治疗中,液体的复苏及脏器功能的维护是所有治疗中的重中之重,是减少死亡率的有效方法,也是采取进一步治疗的关键。
Objective: To comprehensively treat patients with acute severe pancreatitis (SAP) and to observe the therapeutic effect and to analyze the effective treatment of SAP. Methods: A total of 31 SAP patients treated in our hospital from March 2009 to March 2013 were enrolled in this study. They included liquid resuscitation, drugs for inhibiting pancreatic secretion, antibiotics, functional support for patients with exacerbations, and surgery. Results: 28 cases were significantly improved or cured, give up treatment in 1 case, 2 died. Conclusion: In the comprehensive treatment of SAP patients, liquid resuscitation and maintenance of organ function are the most important of all treatments. It is an effective way to reduce mortality and is the key to further treatment.