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重症急性胰腺炎(SAP)的病情凶险、并发症多,国内对SAP的认识和治疗颇多争论并几经变迁1,2]。统计显示,约有60%-75%的SAP患者行非手术治疗,病死率在20%左右[3]。但有10%的患者或并发腹腔间隔室综合征(ACS),或并发坏死感染,均需行手术治疗。我院肝胆外科近三年来共有6例SAP患者经手术治疗,现对其诊治经过进行回顾性分析:
Severe acute pancreatitis (SAP) is dangerous and has multiple complications. Many controversies and changes have taken place in the understanding and treatment of SAP in China [1,2]. Statistics show that about 60% -75% of SAP patients underwent non-surgical treatment with a mortality rate of about 20% [3]. However, 10% of patients with concurrent abdominal compartment syndrome (ACS), or complicated with necrotic infection, require surgical treatment. In our hospital hepatobiliary surgery in the past three years, a total of 6 cases of SAP patients underwent surgical treatment, and now its diagnosis and treatment after a retrospective analysis: