目的　观察中西医结合治疗重症急性胰腺炎临床作用。方法　中西医结合治疗重症急性胰腺炎患者 36例 ,与手术治疗 14例结果进行观察比较。结果　中西医结合组并发症的发生率 (19 4 % )和病死率(5 6 % )均明显低于手术组 (71 4 %和 37 5 % ) ,P均 <0 0 0 1。中西医结合组治愈病例的平均住院时间〔(35 2± 10 0 )日〕明显短于手术组〔(71 0± 10 0 )日 ,P <0 0 0 1〕。结论　重症急性胰腺炎一经确诊首选中西医结合早期治疗 ,可以明显减少并发症的发生率和病死率 ,缩短治愈时间 ,提高疗效 Objective To observe the clinical effect of integrated traditional Chinese and western medicine in the treatment of severe acute pancreatitis. Methods Integrative treatment of 36 patients with severe acute pancreatitis, and the results of 14 cases of surgical treatment were observed and compared. Results The incidence of complications (19 4%) and mortality (56%) in the integrated traditional Chinese and western medicine group were significantly lower than those in the operation group (71 4% and 37 5%), respectively, P <0 0 01. The average length of hospital stay (35 2 ± 10 0) days in the cured cases of TCM-WM combination group was significantly shorter than that of the control group (71 0 ± 10 0 days, P 0 01). Conclusions The diagnosis and treatment of severe acute pancreatitis is the first choice of traditional Chinese and Western medicine combined with early treatment, which can significantly reduce the incidence of complications and mortality, shorten the cure time and improve the curative effect