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目的探讨重症胰腺炎的治疗经验.方法回顾性分析24例重症胰腺炎的临床资料分析治疗经过,总结经验及其治疗效果.结果24例重症胰腺炎中有17例经个体化综合治疗后治愈(治愈率70.8%),6例死于多器官功能衰竭,1例死于坏死物腐蚀脾动脉分支大出血,其总死亡率为(29.2%).治愈病例中有2例因腹腔间隔室综合征行延期手术减压治疗后与非手术治疗相结合治愈.结论重症胰腺炎以个体化原则非手术治疗为主的综合性治疗措施,灵活掌握中转手术的时机,有效的减少并发症的发生可以提高治愈率.“,”[Summary]The purpose inquires into treatment experience of advanced case pancreatitis.The method review analyzes the clinical data of 24 advanced case pancreatitises to analyze treatment process and talies up experience and it treatment effect.Have in result 24 advanced case pancreatitises 17 Be cured of(cure rate 70.8%) after synthesizing the treatment by individuation, 6 dies in many organ functions to crock up, one dies in the bad dead thing corrosion Pi artery branch big bleed, its total death rate BE(29.2%).Cure of to have in case 2 because of bely cavity partition room comprehensive advertise for to go to postpone surgical operation decompression a treatment empress and non- surgical operation treatment to combine together to cure of.Conclusion advanced case pancreatitis with individuation principle non- surgical operation treatment is main of comprehensive sex treatment measure, vivid control medium turn the opportune moment of surgical operation, effective of the occurrence of the decrease complications can raise a cure rate.