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目的加强对重症急性胰腺炎的认识,探讨重症急性胰腺炎的有效治疗方法。方法对我院1999年1月至2005年12月收治的28例重症急性胰腺炎作回顾性分析。结果28例病人中,治愈24例,死亡4例。行手术治疗14例,死亡2例;非手术治疗14例,死亡2例。休克和多脏器功能衰竭是主要的死亡原因。结论重症急性胰腺炎治疗应采用手术治疗和非手术治疗并存的规范性个体化治疗方案。早期的非手术治疗,应严格掌握手术指征。
Objective To strengthen the understanding of severe acute pancreatitis and discuss the effective treatment of severe acute pancreatitis. Methods Retrospective analysis of 28 cases of severe acute pancreatitis admitted to our hospital from January 1999 to December 2005. Results Among the 28 patients, 24 were cured and 4 died. Surgical treatment of 14 cases, 2 deaths; non-surgical treatment of 14 cases, 2 patients died. Shock and multiple organ failure are the major causes of death. Conclusion The treatment of severe acute pancreatitis should be treated with surgical treatment and non-surgical treatment of the normative individualized treatment. Early non-surgical treatment, surgical indications should be strictly controlled.