Objective To explore the "individual treatment plan" of severe acute pancreatitis (SAP). Methods 45 cases SAP were analyzed to evaluate the clinical effects of treatment. Results The cure rate of 28 cases with non-biliary SAP was 82.14% and the cure rate of 17 cases with biliary SPA was 100%. The cure rate of 25 cases SAP patients with only non-surgical treatment was 63. 63%, the cure rate of 8 cases surgical treatmentSAP patients underwent non- surgical treatment was 87. 50% > the cure rate of 12 cases SAP patients with emergency surgery in early stage was 100%. Conclusion For the treatment of SAP. The treatment principle should be complied)and the operation opportunity should be controlled strictly. At the same time, comprehensive analysis of the patient's condition and individualized treatment plan will greatly improve the cure rate of SAP patients.%目的 探讨重症急性胰腺炎(severe acute pancreatitis,SAP)的“个体治疗方案”.方法 回顾性分析45例SAP患者的临床诊治资料,评价其诊治的临床效果.结果 在45例SAP患者中,28例非胆源性SAP的治愈率为82.14％,17例胆源性SAP的治愈率为100％；仅行非手术治疗的25例SAP患者治愈率为63.63％,非手术治疗后行手术治疗的8例SAP患者治愈率为87.50％,12例早期行急诊手术的SAP患者治愈率为100％.结论 对于SAP的治疗,在遵循治疗原则、严格掌握手术指针的同时,应综合判断患者病情、采取个体化治疗方案,可提高SAP的救治率.
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