目的探讨重症急性胰腺炎的手术治疗时机进行分析。方法对重症急性胰腺炎61例和同期72例非手术治疗进行观察分析。结果手术治疗组手术时机观察<72h组病死率大50.0%,并发症发生率达66.66%;而>168h组病死率9.67%,并发症发生率25.80%,经统计学分析P<0.01有显著差异性。结论非手术治疗中严格观察病情,尽可能避免早期手术治疗,疾病进入恢复期再进行选择;对保守疗法治疗中病情发生明显加重趋势仍应采取手术治疗。 Objective To analyze the timing of surgical treatment of severe acute pancreatitis. Methods 61 cases of severe acute pancreatitis and 72 cases of non-surgical treatment were observed and analyzed. Results The operative time of operation group was significantly lower than that of 72h group (50.0%), the complication rate was 66.66%, while the mortality rate of> 168h group was 9.67% and the complication rate was 25.80%. There was significant difference between the two groups Sex. Conclusion Non-surgical treatment of strict observation of the disease, as far as possible to avoid the early surgical treatment, the disease entered the recovery period and then choose; conservative treatment of the disease was significantly aggravating the trend should be taken surgical treatment.