重症急性胰腺炎 (ＡＳＰ)是一种发病急、进展快、病情重、并发症多、病死率高的急腹症。过去多主张手术治疗 ,其病死率高达 3 0 %～ 5 0 % [1] 。 1 994年第1 0届国际消化病会议提出ＡＳＰ应进行积极的内科治疗 ,通过在国内外相当规模医院实施 ,取得了较好效果。我们对收治的 1 Severe acute pancreatitis (ASP) is an acute, rapid progression, serious illness, complications and high mortality rate of acute abdomen. In the past advocate surgery, the mortality rate as high as 30% ~ 50% [1]. The 1 094th International Conference on Infectious Diseases in 1994 proposed that ASP should undergo active medical treatment and achieve good results through the implementation of large-scale hospitals at home and abroad. We are treated 1