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目的 总结非手术治疗重症急性胰腺炎的经验。方法 从 1995年 6月至 2 0 0 2年 6月对收治的 12例重症急性胰腺炎病人 ,均采用非手术治疗措施。结果 11例治愈 ,1例死亡。重症Ⅰ级 8例均治愈 ,重症Ⅱ级 4例 ,治愈 3例 ,死亡 1例。结论 重症急性胰腺炎早期手术可能加重对机体的打击 ,加重急性全身炎症反应 ,增加手术死亡率 ,采用非手术治疗措施 ,可使多数病人的病情得到改善 ,减少并发症 ,降低病死率。
Objective To summarize the experience of non-surgical treatment of severe acute pancreatitis. Methods From June 1995 to June 2002, 12 cases of severe acute pancreatitis were treated by non-surgical treatment. Results 11 cases were cured, 1 case died. Eight cases of severe grade Ⅰ were cured, 4 cases of severe grade Ⅱ, 3 cases were cured and 1 died. Conclusion The early operation of severe acute pancreatitis may aggravate the impact on the body, aggravate the acute systemic inflammatory response and increase the mortality rate. Non-surgical treatment can improve the condition of most patients, reduce the complications and reduce the mortality.