目的探讨急性重症胰腺炎治疗方法。方法针对急性重症胰腺炎病理发展过程,在重症胰腺炎发病早期,采用经腹腔镜置管,建立闭式腹腔灌洗系统,用自配的腹腔灌洗液进行腹腔灌洗。结果本组11例患者,1例因病情过重,入院后第2天死于并发症,其余10例均治愈。结论此法治疗重症胰腺炎,效果良好,创伤小,降低了死亡率,是急性重症胰腺炎治疗的一种良好手段。 Objective To investigate the treatment of acute severe pancreatitis. Methods For the pathological process of severe acute pancreatitis, we established a closed peritoneal lavage system by laparoscopic catheterization in the early stage of severe pancreatitis, and peritoneal lavage with intraperitoneal lavage fluid. Results The group of 11 patients, 1 patient due to illness, died of complications on the second day after admission, and the remaining 10 patients were cured. Conclusion This treatment of severe pancreatitis, with good results, less trauma and lower mortality, is a good treatment for acute severe pancreatitis.