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目的探讨重症急性胰腺炎 (SAP)合理的治疗方案。方法 1999年 1月至 2 0 0 0年 11月我科经治的SAP患者 5 1例 ,采用非手术综合治疗 4 8例 (其中行EST 8例 ,短时血滤 4例 ) ;急诊手术引流治疗 3例 (SAP并化脓性腹膜炎、胰腺脓肿 )。结果治愈率 94 12 % (48/ 5 1) ,死亡率 5 88% (3/ 5 1)。结论 4 8例SAP患者采用非手术综合治疗 ,4 6例治愈 ,EST有助于去除胆源性SAP的病因 ;短时血滤可减轻SAP并发脏器功能障碍的症状 ;SAP并发化脓性腹膜炎及胰腺脓肿必须进行引流手术
Objective To investigate the rational treatment of severe acute pancreatitis (SAP). Methods From January 1999 to November 2000, 51 patients with SAP in our department were treated with non-surgical treatment of 48 cases (EST 8 cases, short-term hemofiltration 4 cases); emergency surgical drainage Treatment of 3 cases (SAP and purulent peritonitis, pancreatic abscess). Results The cure rate was 94.12% (48/51) and the mortality rate was 588% (3/51). Conclusions Forty-eight patients with SAP were treated with non-surgical treatment and 46 patients were cured. EST was helpful to remove the etiology of SAP with biliary SAP. Short-term hemofiltration could reduce the symptoms of SAP complicated with organ dysfunction. SAP complicated with purulent peritonitis and Pancreatic abscess must be drained