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目的探讨早期手术在急性重症胰腺炎治疗中的作用。方法回顾性分析26例APACHE-Ⅱ评分>20分的急性重症胰腺炎患者,其中早期手术12例,未早期手术14例,对两组进行对比分析。结果早期手术组治愈10例,死亡2例(16.7%);未早期手术组14例中,治愈11例,死亡3例(21.4%)。早期手术组术后切口感染8例,平均住院日为45.7 d;未早期手术组平均住院日为40.4 d。结论非手术治疗无效及胰腺周围有严重局部并发症的急性重症胰腺炎患者,可行早期手术干预。
Objective To explore the role of early surgery in the treatment of acute severe pancreatitis. Methods A retrospective analysis of 26 cases of APACHE-Ⅱ score> 20 points in patients with severe acute pancreatitis, including 12 cases of early surgery, 14 cases of no early surgery, the two groups were analyzed. Results In the early operation group, 10 cases were cured and 2 cases died (16.7%). Among 14 cases without early operation group, 11 cases were cured and 3 cases died (21.4%). In the early operation group, 8 cases were infected with incision, the average length of stay was 45.7 days. The average length of stay in the non-early operation group was 40.4 days. Conclusions Non-surgical treatment of patients with acute severe pancreatitis with severe local complications around the pancreas is feasible for early surgical intervention.