目的治疗胰腺炎总体降低重型病死率。方法回顾分析半世纪三期中西医结合外科治疗病例的临床资料。结果共收治国内外病例1208例,其中重症239例和暴发性61例;初期(20世纪50年代)胰腺炎总体病死率1.18%(2/170);中期(70年代1总体271例中重症病死率9.21%(7/76);近期(1998—2003)总体767例中重症病死率9.81%(16/163)和暴发性病死率16.39%(10/61)。结论中西医结合外科治疗急性胰腺炎降低重型病死率的疗效显著。
Objective Reduce the case fatality rate ofpencreatitis population through the therapy of it. Methods Looking back on and analyzing the clinical data and materials concerning the surgical therapy of cases through the combination of Chinese traditional and Western medicine in the three phases of half century. Results Totally accepted and cured 1208 domestic and foreign cases, in which there are 239 cases of severe disorder and 61 cases of fulminant pancreatitis; in early days of the 1950's the case fatality rate of pancreatitis population was I. 18%(2/170); in the middle period of 1970's, the severe case fatality rate was 9.21%(7/76) in total 271 cases; in the near period (from 1998 to 2003), the severe case thtality rate was 9.81%o(16/163) over the 767 cases population and the case fatality rate of fulminant pancreatitis was 16.39%(10/61) accordinly. Conclusion The surgical therapy of the acute pancreatitis by the combination of Chinese traditional and Western medicine to reduce the severe case fatality rate is partioularly effective.