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目的探讨重症胰腺炎的治疗方法。方法对北京市昌平区医院1996年～2006年初收治的33例重症胰腺炎进行回顾性分析。结果33例重症胰腺炎中有胆源性重症胰腺炎18例,非胆源性重症胰腺炎15例。行手术治疗24例,保守治疗9例。手术治疗24例中包括18例胆源性重症胰腺炎,死亡3例,6例非胆源性重症胰腺炎,死亡3例。保守治疗的9例无死亡。结论对胆源性重症胰腺炎应及时手术,尤其是在基层医院;对非胆源性重症胰腺炎应以保守治疗为主,并在重症胰腺炎发展的不同阶段采取不同的治疗措施。
Objective To explore the treatment of severe pancreatitis. Methods A retrospective analysis was performed on 33 cases of severe pancreatitis admitted to Changping District Hospital in Beijing from 1996 to early 2006. Results 33 cases of severe pancreatitis biliary severe pancreatitis in 18 cases, 15 cases of non-biliary severe pancreatitis. Surgical treatment of 24 cases, conservative treatment in 9 cases. Twenty-four cases of surgical treatment included severe biliary pancreatitis, 3 died, 6 non-biliary severe pancreatitis, and 3 died. Nine cases of conservative treatment without death. Conclusion Severe biliary pancreatitis should be operated in time, especially in primary hospitals. Non-biliary severe pancreatitis should be treated conservatively, and different treatment measures should be taken in different stages of severe pancreatitis.