急性胰腺炎根据病理可分为水肿型和出血坏死型,后者死亡率可达40～70%。我院自1981年以来采取规则胰腺切除手术治疗,取得较好的效果,现就我科收到的21例标本的病理所见报道如下。临床资料男11人,女10人,男:女=1.1:1。年龄15～70岁,平均51.9岁,以40～70岁最常见。出现症状后24小时内就诊并手术者5人,24～48小时内6人,48～72小时内4人,超过72小时者6人。手术所见胰腺病变:(1)全部坏死,塌陷,色灰黑。(2)浅表部坏死,灰黑色,深部呈灰红色。(3)浅部灰红色,深部组织坏死。(4)严重肿胀,前后径>5cm,紫褐色,有散在淡黄色斑块。本文21例中16例有明显胰腺外腹膜后侵犯,并有腹内混浊或血性渗出液(4 According to pathology, acute pancreatitis can be divided into edema type and hemorrhagic necrosis type, and the latter mortality rate can reach 40 to 70%. Our hospital has adopted regular pancreatic resection surgery since 1981 and achieved good results. Now we have reported the pathology of 21 specimens received by our department as follows. The clinical data were 11 males and 10 females, male: female = 1.1:1. Age 15-70 years old, average 51.9 years old, 40-70 years old is the most common. There were 5 patients who came to the hospital within 24 hours after symptoms appeared, 6 within 24 to 48 hours, 4 within 48 to 72 hours, and 6 people over 72 hours. Pancreatic lesions seen in the operation: (1) All necrosis, collapse, dark gray color. (2) The superficial part is necrotic, grayish black and dark red. (3) Shallow gray red, deep tissue necrosis. (4) Severe swelling, anteroposterior diameter> 5cm, purple brown, scattered yellowish patches. Of the 21 patients in this study, 16 had significant extrapancreatic invasion of the pancreas and had intra-abdominal cloudiness or bloody exudate (4