１９９２年５月～１９９６年４月收治急性重型胰腺炎６３例，ＲＡＮＳＯＮ指标平均６４±１７项，ＡＰＡＣＨＥ－Ⅱ评分平均２５６±９６分。经中药清热解毒，通里攻下，活血化淤；适时手术清除胰腺及胰周坏死组织，充分引流；结合严密的生命体征和器官功能监测，早期预防和处理并发症，机械通气，ＴＰＮ支持等综合措施，取得明显疗效。治愈或好转后转入普通病房继续治疗５０例，死亡１２例，自动出院１例，总死亡率２０６％（１３／６３）。低于同期国内外多数报道的死亡率 From May 1992 to April 1996, 63 cases of acute severe pancreatitis were treated, the average RANSON index was 64 ± 17, and the APACHE-Ⅱ score was 256 ± 96. Through traditional Chinese medicine detoxification, Tongli attack, blood stasis; timely removal of pancreatic and peritoneal necrosis, adequate drainage; combined with close vital signs and organ function monitoring, early prevention and management of complications, mechanical ventilation, TPN support Comprehensive measures to achieve significant results. After the cure or improvement, they were transferred to the general ward for continued treatment of 50 cases, 12 died, 1 case was discharged automatically and the total mortality rate was 20.6% (13/63). Lower than most reports at home and abroad over the same period of mortality