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目的:寻求减少急性出血性坏死性胰腺炎(AHNP)并发症的发生率和病死率的有效方法。方法:用中西医结合的方法治疗AHNP患者50例,并与手术治疗34例进行对比观察。结果:中西医结合组并发症的发生率(26.0%)和病死率(2.0%)均明显低于手术组(70.6%和29.4%,P均<0.001)。中西医结合组治愈病例的平均住院时间〔(30.2±10.0)日〕亦明显短于手术组〔(81.0±40.0)日,P<0.001〕。结论:AHNP患者一经确诊后首选中西医结合早期治疗,可以明显降低并发症的发生率和病死率,缩短治愈时间,提高疗效。
OBJECTIVE: To find an effective method to reduce the incidence and mortality of acute hemorrhagic necrotizing pancreatitis (AHNP) complications. Methods: Fifty cases of AHNP were treated with integrated traditional Chinese and western medicine, and 34 cases were treated with surgery. Results: The incidence of complications (26.0%) and mortality (2.0%) in the combination group were significantly lower than those in the operation group (70.6% and 29.4%, P <0.001) . The mean length of stay (30.2 ± 10.0 days) in patients treated with integrated traditional Chinese and Western medicine was also significantly shorter than that in the operative patients (81.0 ± 40.0 days, P <0.001). Conclusion: AHNP patients are the first choice of Integrative Medicine early diagnosis after treatment, can significantly reduce the incidence of complications and mortality, shorten the cure time and improve efficacy.