Kosachev I D, Fokin Iu N, Paskar' S V
Voen Med Zh. 2009 Nov;330(11):20-8.
The work is founded on the results of examination and treatment of 1242 patients with acute pancreatits in 1991-2007. There was compared results of diagnostics and treatment of 520 patients in 1991-1999 (group of comparison) before insertion of protocols of diagnostics and treatment of acute pancreatitis and after their insertion and optimization - 722 patients in 2000-2007 (main group). Compared groups are equitable in all categories. It's determined that that after insertion of standardized algorithm of diagnostics and treatment of acute pancreatitis in the work of surgical units of the 442nd Regional military clinical hospital of Leningrade military region, it was achieved a decrease of general lethality in conditions of this disease from 8.8% in group of comparison to 3.4% in main group (p<0.05). In conditions of sthenic acute pancreatitis after-operational lethality decreased from 39.6% to 23.1%, and general lethality - from 33.3% to 15% (p<0.001).
这项工作基于1991年至2007年期间对1242例急性胰腺炎患者的检查和治疗结果。比较了1991年至1999年期间520例患者（对照组）在急性胰腺炎诊断和治疗方案引入之前以及引入并优化之后（2000年至2007年的722例患者，主要组）的诊断和治疗结果。比较组在所有类别上均具有可比性。结果表明，在列宁格勒军区第442地区军事临床医院外科单位的工作中引入急性胰腺炎标准化诊断和治疗算法后，该疾病的总体死亡率从对照组的8.8%降至主要组的3.4%（p<0.05）。在强壮型急性胰腺炎的情况下，术后死亡率从39.6%降至23.1%，总体死亡率从33.3%降至15%（p<0.001）。
