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结合146例分析及文献复习,讨论急性胰腺炎病因、重症度判断及治疗原则、B超诊断的初步意义。水肿型105例,出血坏死型41例。按本文的标准诊断重症胰腺炎42例。比较Bank、中野、Ranson、水本等人的重症标准,认为中野的标准较全面、简捷、实用。急性胰腺炎除有强烈手术指征外,一般宜先保守治疗观察24～48小时后再决定下步治则。本组病例按此治则,死亡率较70年代明显下降。 B超探查80例,28例提示异常,B超作为无创检查颇有价值,值得进一步探讨。
Combined 146 cases of analysis and literature review, discuss the etiology and severity of acute pancreatitis and treatment principles, the preliminary significance of B-ultrasound. Edema 105 cases, hemorrhagic necrosis 41 cases. According to the standard diagnosis of 42 cases of severe pancreatitis. Comparison of Bank, Nakano, Ranson, water and other people’s critically ill standards, that the standard Nakano more comprehensive, simple and practical. In addition to acute pancreatitis surgery indications, the general should first observe the conservative treatment of 24 to 48 hours before deciding the next rule. The treatment of this group of cases, the mortality rate decreased significantly compared with the 70’s. Ultrasonography in 80 cases, abnormal tips in 28 cases, B ultrasound as a valuable noninvasive examination, it is worth further exploration.