Clinical analysis of 24 cases of death caused by severe acute pancrcatitis
- VernacularTitle:重症急性胰腺炎24例死亡病例分析
- Author:
Chang CHEN
;
Wen-Jun ZHANG
;
Yan LIU
;
Zhaoshen LI
;
- Publication Type:Journal Article
- Keywords:
Severe acute pancreatitis;
Mortality;
Treatment
- From:
Chinese Journal of Digestion
1998;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the factors impact on the mortality of severe acute pancreati- tis(SAP)and the related treatment methods.Methods The data from 24 patients died of SAP from Jan- uary 1993 to June 2006 were retrospectively analyzed.The factor that impact motality and treatment measures were also analyzed.Results The mortality of patients with SAP was 6.65%(24/361).Multi- ple organ dysfunction sydrome(MODS)was the main cause of death in early stage of SAP.The infection was an important cause in later stage.The mortality was higher in SAP patients with other complications than those without.Conclusions MODS is the main cause of death in early stage.Close monitoring and supportive treatments in early stage can reduce mortality.Individualized treatments,including nonsurgi- cal,surgical and interventional therapy should be adopted in later stage,with emphases on reducing com- plications.
