手术治疗重症胰腺炎体会

Study on surgery treatment of severe pancreatitis

关键词:  重症胰腺炎  手术  体会

Key words:  severe pancreatitis  operation  experience

摘要:

［目的］总结重症胰腺炎手术时机选择经验，评估手术治疗重症胰腺炎的疗效。［方法］回顾分析手术治疗重症胰腺炎72例患者的临床资料。［结果］ 72例均采用手术治疗，死亡1例，其余均治愈。术后并发胰腺脑病1例，心肺功能不全14例，切口裂开5例，手术治愈率98.6％，并发症发生率为27.8％。［结论］ 手术是治疗重症胰腺炎的可靠方法，合理的营养支持，必要的抗炎和细心护理是治疗重症腹膜炎的重要措施。

Abstract:

［Objective］ To explore theright moment of severe pancreatifis operation, and to evaluate our curative effects on the operation of severe pancreatitis. ［Method］ The authors reviewed and analysed 72 cases clinical material on operative therapy of severe pancreatitis from 1990 to 2004.［Result］ In 71 operative patients, one case was death , others were cured. One case complicated the pancreatic encephalopathy after operation, 14 cases were insufficiency of heart and lungs, 5 cases were disruption of wound, operating cure rate was 98.6%, complication incidence rate was 27.8% percent.［Conclusion］ The operation is a reliable method on therapy of severe pancreatitis, it is a important measure that reasonable nutritive support, necessary anti-inflammatory and curefully nursing on therapy of severe pancreatitis.