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目的:探讨重症急性胰腺炎(SAP)的手术治疗效果及并发症防治,为SAP的临床治疗提供理论依据。方法:选取2012年4月至2013年4月本院收治的60例SAP患者作为研究对象,对所有患者采用手术治疗,观察手术治疗SAP的疗效。结果:60例SAP患者经手术治疗后,54例治愈,6例死亡,治愈率为90.0%;6例死亡患者的并发症发生情况为:呼吸衰竭2例,消化道大出血1例,胰腺周围脓肿1例,肾功能衰竭2例。结论:抓住合适的手术时机,做好并发症防治能提高SAP的治愈率,对提高抢救成功率具有重要意义。
Objective: To explore the surgical treatment of severe acute pancreatitis (SAP) and prevention and treatment of complications, providing a theoretical basis for the clinical treatment of SAP. Methods: From April 2012 to April 2013, 60 patients with SAP in our hospital were selected as the research object. Surgical treatment was performed on all the patients and the curative effect of SAP was observed. Results: After surgery, 54 cases were cured and 6 cases died. The cure rate was 90.0%. The complications of 6 deaths were as follows: respiratory failure in 2 cases, gastrointestinal bleeding in 1 case, pancreatic abscess 1 case, 2 cases of renal failure. Conclusion: Seizing the appropriate timing of operation and preventing and treating complications can improve the cure rate of SAP, which is of great significance to improve the success rate of salvage.