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作者在过去的14年内收治了139例急性胰腺炎。77例行手术治疗,62例行保守治疗。44例水肿型胰腺炎接受了各种手术治疗,11例出血性胰腺炎只用了泵引流。16例坏死性胰腺中有2例进行了胰腺切除。总手术死亡率是18%。85%的病人接受抗酶治疗,所用药物是抑肽酶(10～820×10~4)、FOY(200～8,600mg)和其他抑酶制剂。药物的剂量取决于疾病的严重程度。12例病人接受5—Fu治疗,病情轻的1例,中等的8例,重度的3例,5—Fu每天用250～500mg,持续2—24天。
The author has treated 139 cases of acute pancreatitis in the past 14 years. Surgical treatment of 77 cases, 62 cases of conservative treatment. 44 cases of edematous pancreatitis received a variety of surgical treatment, 11 cases of hemorrhagic pancreatitis used only for drainage. Two of the 16 patients with necrotic pancreas underwent pancreatectomy. The overall operative mortality rate was 18%. 85% of patients received anti-enzyme therapy, the drug used is aprotinin (10 ~ 820 × 10 ~ 4), FOY (200 ~ 8,600mg) and other inhibitors. The dose of the drug depends on the severity of the disease. 12 patients underwent 5-Fu treatment, with mild disease in 1 case, moderate in 8 cases and severe cases in 3 cases. 5-Fu was administered for 250 to 500 mg daily for 2 to 24 days.