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目的 探讨非手术治疗重症急性胰腺炎 (SAP)的效果。方法 采用静脉输注丹参、管喂 /口服清胰汤煎剂等中西医结合非手术治疗SAP 6 3例 ,观察其临床疗效。结果 全组属SAPⅠ级 34例 ,Ⅱ级 2 9例 ;发生各类并发症 19例次 (30 .16 % ) ,死亡 3例 (4.76 % ) ,并发胰腺脓肿中转手术 4例。结论 非手术治疗SAP应遵循根据病因和临床阶段决定治疗重点的个体化原则 ,及时发现需要中转手术的情况 ;中西医结合治疗SAP效果优良。
Objective To investigate the effect of non-surgical treatment of severe acute pancreatitis (SAP). Methods Sixty-three cases of SAP were treated with intravenous infusion of Salvia miltiorrhiza, tube fed with Qingyitang decoction and other traditional Chinese and western medicine, and the clinical efficacy was observed. Results All the patients were SAP Ⅰ in 34 cases and Ⅱ Ⅱ in 29 cases. All kinds of complications occurred in 19 cases (30.16%), 3 cases died (4.76%) and 4 cases were complicated with pancreatic abscess. Conclusion Non-surgical treatment of SAP should follow the principle of individualized treatment based on the cause and clinical stage, and timely detection of the need for transit surgery; Integrative treatment of SAP with excellent results.