42例急性重症胰腺炎合并多脏器损伤患者的临床分析

摘要

Objective To investigate clinical measures and principles of SAP complicated with MODS. Methods Retrospective analysed the clinical data of 42 cases of SAP complicated with MODS in our hospital, reviewed references, then sconcluded diagnosi and treatment procedures. Results 37 cases recovered and discharged(88.10%), 5 cases died(11.90%); non-surgicaltreatment of 35 cases, 3 deaths; complications and deaths were caused mainly by MODS. Conclusions Individualized comprehensive treatment is advised in treatments of SAP complicated with MODS, and operation time is properly selected to improve treatment effects and survival rate in patients with SAP complicated with MODS.%　　目的探究急性重症胰腺炎(MODS)合并多脏器损伤(SAP)的治疗措施与原则.方法对我院42例急性重症胰腺炎合并多脏器损伤患者的临床资料进行回顾性分析，查阅文献，加以总结.结果42例患者中，痊愈37例(88.10%)，死亡5例(11.90%).其中手术治疗的有7例，死亡2例；非手术治疗的有35例，死亡3例；多脏器衰竭是发生并发症乃至死亡的主要原因.结论对急性重症胰腺炎并发多脏器功能衰竭的患者，应全面考虑，制定针对性的治疗方案，选择合适的外科时机，方能取得满意的疗效.