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目的探讨重症急性胰腺炎(SAP)的合理治疗方法。方法回顾性分析2001年12月至2009年6月期间收治的36例SAP的治疗效果。结果本组治愈率为88.9%(32/36),其中非手术综合治疗为92.8%(26/28),手术治疗组为75%(6/8);并发症发生率非手术综合治疗组为7.14%(3/28),手术组为25.0%(2/8);总死亡率为11.1(4/36),其中非手术治疗组为7.0%(2/28),手术组为25.0%(2/8)。结论规范化、个体化治疗可有效提高SAP的治愈率。
Objective To investigate the reasonable treatment of severe acute pancreatitis (SAP). Methods A retrospective analysis of 36 cases of SAP treated between December 2001 and June 2009 was performed. Results The cure rate in this group was 88.9% (32/36), of which 92.8% (26/28) in non-surgical treatment group and 75% (6/8) in surgical treatment group. The incidence of complications in non-surgical treatment group was 7.14% (3/28) in the operation group, 25.0% (2/8) in the operation group and 11.1 (4/36) in the non-operation group, 7.0% (2/28) in the non-operation group and 25.0% 2/8). Conclusion Standardization and individualized treatment can effectively improve the cure rate of SAP.