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目的探讨重症急性胰腺炎(SAP)的治疗方法。方法回顾性分析46例SAP患者的临床资料。结果非手术治疗12例,全部治愈;手术治疗34例,治愈30例;因急性呼吸窘迫综合征,呼吸衰竭,胰性脑病和严重感染死亡各1例。结论围手术期的基本治疗及并发症的预防是SAP治疗成功的关键,SAP早期应以非手术治疗为主。
Objective To investigate the treatment of severe acute pancreatitis (SAP). Methods The clinical data of 46 SAP patients were retrospectively analyzed. Results Non-surgical treatment of 12 cases, all cured; surgical treatment of 34 cases, 30 cases were cured; due to acute respiratory distress syndrome, respiratory failure, pancreatic encephalopathy and severe infection in 1 death. Conclusion The basic perioperative treatment and prevention of complications are the key to the success of SAP treatment. SAP should be mainly non-surgical treatment in the early stage.