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目的:探讨内科治疗重症急性胰腺炎(SAP)的综合治疗方法。方法:收集2007-07/2009-06经盘锦市第二人民医院消化内科收治的32例重症急性胰腺炎病例,并对治疗方案与治疗效果进行回顾性分析。结果:治愈27例,死亡5例,病死率为15.6%。结论:非手术治疗能够治愈大部分重症胰腺炎,治疗的关键在于早期抑制胰酶分泌、保护脏器的功能、维持血液动力学的稳定和水电解质和酸碱的平衡以及营养的支持。
Objective: To explore the comprehensive treatment of severe acute pancreatitis (SAP). Methods: Thirty - two cases of severe acute pancreatitis admitted to Department of Gastroenterology, Second People ’s Hospital, Panjin City from July 2007 to June 2009 were collected. Retrospective analysis was made on the treatment plan and treatment effect. Results: 27 cases were cured, 5 cases died, the case fatality rate was 15.6%. CONCLUSIONS: Non-surgical treatment can cure most severe pancreatitis. The key to the treatment is early inhibition of pancreatic enzyme secretion, protection of organ function, maintenance of hemodynamic stability, balance of water, electrolyte and acid-base, and nutrition support.