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目的:探讨重症急性胰腺炎外科治疗方法。方法:对我院2000/2008年24例重症急性胰腺炎临床资料进行回顾性分析。结果:重症急性胰腺炎具有病因复杂、发病急剧、病情险恶、治疗困难死亡率高等临床特点,本组中16例非手术治疗,8例手术治疗,术后死亡3例,死因为感染性休克、多脏器功能衰竭。结论:重视保守治疗,同时应掌握与合理选择手术时机、手术指征和手术方式,并注意把握治疗中的每一个细节。
Objective: To investigate the surgical treatment of severe acute pancreatitis. Methods: The clinical data of 24 severe acute pancreatitis in our hospital from 2000 to 2008 were analyzed retrospectively. Results: Severe acute pancreatitis has the characteristics of complicated etiology, rapid onset, dangerous condition and high treatment mortality. In this group, 16 cases were treated non-operatively, 8 cases were treated surgically and 3 cases died after operation. The cause of death was septic shock, Multiple organ failure. Conclusion: The importance of conservative treatment should be mastered at the same time with a reasonable choice of timing of surgery, surgical indications and surgical procedures, and pay attention to grasp every detail of treatment.