目的总结重症急性胰腺炎非手术治疗体会。方法回顾分析河南中医学院第一附属医院2003年5月～2006年10月收治的45例重症胰腺炎病例。结果本组非手术治疗37例,死亡2例,治愈率94.6%;手术治疗8例,死亡2例,治愈率75%。结论早期以非手术为主的综合治疗措施能提高重症胰腺炎治疗效果。 Objective To summarize the experience of non-surgical treatment of severe acute pancreatitis. Methods The 45 cases of severe pancreatitis admitted to the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from May 2003 to October 2006 were retrospectively analyzed. Results The group of non-surgical treatment of 37 cases, 2 patients died, the cure rate was 94.6%; surgery in 8 cases, 2 patients died, the cure rate was 75%. Conclusion Early comprehensive non-surgical treatment can improve the treatment of severe pancreatitis.