重症急性胰腺炎(SAP)约占急性胰腺炎的10％～20％,其病情重,病死率高。目前多数学者认为,SPA早期宜采用以非手术治疗为主的综合治疗措施。1996年1月～2001年12月,我院共收治SPA患者65例,其中58例采用非手术综合疗法治愈,现报告如下。 临床资料:本组65例,男47例,女18例;年龄24～80岁,平均43.7岁。发病至就诊时间为2小时至4天。其中胆源性33例,酒精性23例,高脂餐饮食5例,原因不明4例。所有 Severe acute pancreatitis (SAP) accounts for about 10% to 20% of acute pancreatitis, its serious condition, high mortality. At present, most scholars believe that, SPA early should adopt non-surgical treatment-based comprehensive treatment. January 1996 ~ December 2001, our hospital received a total of 65 cases of patients with SPA, of which 58 cases were treated with non-surgical treatment, are as follows. Clinical data: The group of 65 patients, 47 males and 18 females; aged 24 to 80 years, mean 43.7 years old. The onset to treatment time is 2 hours to 4 days. Of which 33 cases of biliary origin, 23 cases of alcohol, high-fat diet in 5 cases, 4 cases of unknown cause. all