摘要
目的：探讨重症急性胰腺炎（SAP）的合适治疗方案。方法：收集1998年6月-2006年1月经我科收治的58例重症急性胰腺炎病例,并对治疗方案与治疗效果进行回顾性分析。结果：总并发症发生率44.8%,总病死率29.3%,总治愈率70.7%,保守治疗组并发症发生率为46.9%,外科手术治疗组为42.3%;保守治疗组病死率为31.3%,外科手术治疗组为26.9%;保守治疗组治愈率为71.9%,外科手术组为69.2%,两组差异均无统计学意义（P〉0.05）。结论：正确把握重症急性胰腺炎的治疗时机与指征,合理选择治疗方式,对于决定重症急性胰腺炎的预后至关重要。
Objective：To investigate an optimal therapy for severe acute pancreatitis（SAP）. Methods：The clinical data of 58 cases of severe acute pancreatitis treated in our department from June 1998 to January 2006 were reviewed retrospectively,and the therapy and results were analyzed. Results：The overall incidence of complication, fatality rate and cured rate were 44.8% ,29.3% , and 70.7% , respectively. The incidence rates of complication in non-surgery group and surgical intervention group were 46.9% and 42.3% , （P 〉 0.05 ） ,respectively. The fatality rate in non-surgery group and surgical intervention group were 31.3% and 26.9% , respectively （P 〉 0.05）. The cured rates in non-surgery group and surgical intervention group were 71.9% and 69.2%, respectively（ P 〉 0.05 ）. Conclusions ：Grasp of treatment time, indications and choice of treatment are vital to the prognosis of SAP.
出处
《蚌埠医学院学报》
CAS
2008年第3期290-291,共2页
Journal of Bengbu Medical College
