Therapy of severe acute pancreatitis
- VernacularTitle:重症急性胰腺炎的治疗
- Author:
Hua LI
;
Guangming LI
;
- Publication Type:Journal Article
- Keywords:
PANCREATITIS/ther;
ACUTE DISEASES
- From:
Chinese Journal of General Surgery
1993;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the optimal therapeutic strategy of severe acute pancreatitis(SAP). Methods The effect of treatment of non operation, endoscopy and operation on cure rate, complication rate and course of the disease in SAP were retrospectively analysed. Results Non operative, endoscopic and operative treatment included 33, 8 and 19 cases respectively.Cure rate, complication rate and course of the disease in non operation group were 85.7%(24/28), 16.7%(4/24), (25?8)days respectively;in endoscope group were 100%(8/8), 12.5%(1/8), (19?4)day respectively;in operation group were 68.4%(13/19), 38.5%(5/13), (57?14)day respectively. Conclusions According to the difference of pathogeny and severity,the treatment should be taken individually.In acute reaction phase of SAP should be treated with non operation,if there isn't existence of promoting facters.For gallstone SAP, endoscopy or operation is the first choice of treatment.If patients can not be cured by non operation or endoscopy,operaton should be performed.
