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本文对近８年来９１例重症急性胰腺炎病例进行了回顾性研究，根据ＣＴ影像或术中所见胰腺坏死的程度将病例分为轻度，中度和重度。本组资料提示：轻度和中度病例宜以保守治疗为主，重度病例应以手术治疗为主。手术病人术前需纠正休克或成人呼吸窘迫综合征，术中应充分游离胰腺，十二指肠造瘘对阻止胰腺炎的发展和防止胰腺或胰周脓肿的形成有重要作用。
In the past eight years, 91 cases of severe acute pancreatitis were retrospectively studied. The cases were divided into mild, moderate and severe cases according to the degree of pancreatic necrosis observed by CT images or intraoperative findings. The data suggest that: mild and moderate cases should be conservative treatment, severe cases should be based on surgical treatment. Surgical patients need to correct shock or adult respiratory distress syndrome before surgery, surgery should be fully free of the pancreas, duodenal fistula to prevent the development of pancreatitis and prevent the formation of pancreatic or peripancreatic abscess plays an important role.