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目的探讨急性胰腺炎的治疗方法,为临床积累经验。方法回顾性分析我院2005年1月～2009年6月收治的60例急性胰腺炎患者的临床资料。结果MAP经综合治疗后,100%治愈,无一例转为重症,平均住院时间13d。18例重症患者中,保守治疗5例,治愈4例,死亡1例;外科手术治疗13例,治愈11例,死亡2例。结论轻型急性胰腺炎以非手术治疗为主,疗效确切,而对于重症胰腺炎在积极治疗的同时,视病情的轻重决定手术的时机,可望有效降低该病的病死率。
Objective To explore the treatment of acute pancreatitis and accumulate experience for clinical practice. Methods The clinical data of 60 patients with acute pancreatitis admitted to our hospital from January 2005 to June 2009 were retrospectively analyzed. Results After the comprehensive treatment of MAP, 100% cured, no case turned to severe, the average length of stay 13d. In 18 severe cases, 5 cases were treated conservatively, 4 cases were cured and 1 case died. Thirteen cases were cured by surgery, 11 cases were cured and 2 died. Conclusion Non-surgical treatment of light-acute pancreatitis is the mainstay of treatment. The treatment of severe acute pancreatitis is an active treatment, and the severity of the disease determines the timing of the operation, which is expected to reduce the case-fatality rate.