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目的通过对重症急性胰腺炎(SAP)患者的临床特点、诊断及综合治疗研究以期对SAP诊治有所帮助。方法对24例SAP临床资料进行回顾分析。结果非手术治疗17例,治愈15例,治愈率为88.2%,死亡2例,病死率11.8%,手术治疗7例,其中延期手术5例,治愈4例,死亡1例,病死率20%,早期手术2例,治愈1例,死亡1例。结论在SAP治疗中,积极规范的早期非手术治疗,严格掌握手术适应症,合理的选择手术时机,是提高SAP治愈率降低病死率的关键。
Objective To study the clinical features, diagnosis and comprehensive treatment of patients with severe acute pancreatitis (SAP) so as to help the diagnosis and treatment of SAP. Methods 24 cases of SAP clinical data were analyzed retrospectively. Results Non-surgical treatment of 17 cases, 15 cases were cured, the cure rate was 88.2%, 2 died, the fatality rate was 11.8%, surgical treatment in 7 cases, of which delayed surgery in 5 cases, 4 cases were cured, 1 died, the mortality rate was 20% Early surgery in 2 cases, 1 case of cure, 1 case of death. Conclusion In the treatment of SAP, actively regulating the early nonsurgical treatment, strictly controlling the indications for surgery and selecting the appropriate timing of surgery are the keys to improve the cure rate of SAP and reduce the mortality rate.