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目的:分析探讨急性重症胰腺炎治疗方法和经验。方法:回顾性分析我科2003年1月~2007年12月收治急性重症胰腺炎58例患者的临床资料。结果:58例确诊为急性重症胰腺炎的住院患者,手术19例,保守治疗39例,死亡12例,死亡率为22.4%。结论:急性重症胰腺炎患者除胆源性胰腺炎外应避免早期手术治疗,各种保守治疗方法综合治疗可提高患者的生存率。
Objective: To analyze and discuss the treatment and experience of acute severe pancreatitis. Methods: The clinical data of 58 patients with acute severe pancreatitis admitted to our department from January 2003 to December 2007 were retrospectively analyzed. Results: Of the 58 hospitalized patients diagnosed as acute severe pancreatitis, 19 cases were treated surgically, 39 cases were conservatively treated and 12 cases died. The mortality rate was 22.4%. Conclusion: Patients with acute severe pancreatitis should avoid early surgical treatment except for biliary pancreatitis. Comprehensive treatment with various conservative treatment methods can improve the survival rate of patients.