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目的探讨重症急性胰腺炎(SAP)的合理治疗方案和临床效果。方法对32例重症急性胰腺炎患者,分为手术治疗组和非手术治疗组。对两组的平均病程及死亡率进行回顾分析,观察手术组与非手术组的治疗效果。结果非手术治疗23例,治愈21例,死亡2例;手术治疗9例,治愈6例.死亡3例;非手术治疗组死亡率显著低于手术治疗组。结论重症急性胰腺炎早期应采取非手术治疗为主,若出现手术指征时,应及时手术。手术时机的掌握和手术方式的选择对手术治疗重症急性胰腺炎很重要。理性选择重症急性胰腺炎的手术适应证及手术时机是提高重症急性胰腺炎疗效的关键。
Objective To investigate the reasonable treatment and clinical effect of severe acute pancreatitis (SAP). Methods 32 patients with severe acute pancreatitis were divided into surgical treatment group and non-surgical treatment group. The average duration and mortality of the two groups were retrospectively analyzed to observe the therapeutic effect of the surgical group and the non-surgical group. Results In non-surgical treatment, 23 cases were cured, 21 cases were cured and 2 died. Surgical treatment was performed in 9 cases, 6 cases were cured and 3 cases died. The mortality in non-surgical treatment group was significantly lower than that in surgical treatment group. Conclusion Severe acute pancreatitis should be taken early non-surgical treatment, if surgery indications should be timely surgery. The timing of surgery and surgical options for surgical treatment of severe acute pancreatitis is very important. Rational choice of surgical indications for severe acute pancreatitis and timing of surgery is to improve the efficacy of severe acute pancreatitis key.