我们于1992年至2001年收治重症急性胰腺炎(SAP)74例,效果较好,报告如下。临床资料本组74例,男48例,女26例;年龄18～65岁;均符合SAP诊断标准。手术组31例,确诊8～12h内急诊手术,松解胰腺包膜,清除坏死组织,充分腹腔引流。非手术组43例,积极抗休克、抗感染,给予肠道外营养,奥曲肽 We admitted in 1992 to 2001 74 cases of severe acute pancreatitis (SAP), the effect is better, the report is as follows. Clinical data 74 cases in this group, 48 males and 26 females; aged 18 to 65 years; all meet the SAP diagnostic criteria. In the operation group, 31 cases were diagnosed during emergency operation within 8-12h, the pancreas capsule was loosened, the necrotic tissue was removed, and the abdominal drainage was completed. Non-operation group of 43 cases, active anti-shock, anti-infection, giving parenteral nutrition, octreotide