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40年来,尽管在急性胰腺炎的诊断、监护和治疗上都有明显的进步,但死亡率仍在10%～15%的范围,由于广泛地评价了急性胰腺炎时血浆容量净增值(sequestration)的重要,今天已很少有人死于血容量低下了,倒是继发性感染的发生,成为能否存活的主要决定因素了。主要胰腺感染,出现于8%～10%的急性胰腺炎病人,而且在这些病人中是引起80%以上死亡的原因。急性胰腺炎总死亡率的改善,必须直接涉及感染问题。
For 40 years, despite significant advances in the diagnosis, monitoring and treatment of acute pancreatitis, the mortality rate is still in the range of 10% to 15%. Due to the extensive evaluation of the sequestration of plasma volume in acute pancreatitis, Of the important, very few people have died of hypovolemia today, it touches on the occurrence of secondary infection, become the main determinants of survival. The main pancreatic infection occurs in 8% to 10% of acute pancreatitis patients and is responsible for more than 80% of these patients’ deaths. The overall mortality rate of acute pancreatitis should be directly related to the infection.