CAJ | 학술논문

目的总结重症急性胰腺炎(severe acute pancreatitis SAP)治疗的处理方法及安全常用手术方式.方法选择56例SAP患者,经积极有效保守治疗,和/或加用合理手术方式.(待胰腺坏死组织和正常组织界限分清时,原则是尽可能清除感染性坏死组织,保存有生机的胰腺组织,提供有效的引流,视病变类型选择手术).结果治愈45例,死亡11例,其中非手术治愈31例,死亡7例,手术治愈14例,死亡4例,总死亡率为19.64%,其中手术治疗组死亡率为28.57%,非手术组死亡率为22.58%.结论 SAP一旦确诊,急性期内先行非手术治疗,后期手术可明显提高患者生存率,并缩短疗程.
목적 총결중증급성이선염(severe acute pancreatitis SAP)치료적처리방법급안전상용수술방식.방법 선택56례SAP환자,경적겁유효보수치료,화/혹가용합리수술방식.(대이선배사조직화정상조직계한분청시,원칙시진가능청제감염성배사조직,보존유생궤적이선조직,제공유효적인류,시병변류형선택수술).결과 치유45례,사망11례,기중비수술치유31례,사망7례,수술치유14례,사망4례,총사망솔위19.64%,기중수술치료조사망솔위28.57%,비수술조사망솔위22.58%.결론 SAP일단학진,급성기내선행비수술치료,후기수술가명현제고환자생존솔,병축단료정.
Objective Conclusion of the severe acute pancreatitis treatment and the methods of safe operation. Methods 56 patients with SAP chosen going through conservative treatment in addition to suitable operation( The principle is to remove the infected and destroyed tissue effectively by drawing out the pus from the focus first and preserve the living tissue of pancreatitis by operating according to the pathological change after the separation of good tissues from the bad ones. Results 45 were cured 11 were death( including 14 cured and 4 death; 28.57% death rate among the operative group/31cured 7 death; 22. 58% death rate among the nonoperative group. Conclusion Nonoperative treatment followed by surgical treatment for the acute pancreatitis after diagnosis will obviously enhance the survival rate and shorten the process.