Chmelizek F, Waclawiczek H W
Anaesthesist. 1985 Nov;34(11):607-11.
Severely acute necrotizing pancreatitis (degrees II and III) requires good teamwork between surgery and intensive care from the very beginning. Treatment was successful in 10 of 12 of our cases (83.4%); laparotomy and subsequent endoscopic necrosectomy were performed using a mediastinoscope, supplemented by optimal perioperative intensive therapy (long-term respiration with PEEP, infusion therapy, calcitonin, antibiotics, etc.). Before 1981, lethality amounted to 70%. No relaparotomies were necessary and organ failures (kidney and lung) were avoided.
重症急性坏死性胰腺炎（Ⅱ级和Ⅲ级）从一开始就需要外科手术和重症监护之间良好的团队协作。我们的12例病例中有10例治疗成功（83.4%）；采用纵隔镜进行剖腹手术及随后的内镜坏死组织清除术，并辅以最佳的围手术期强化治疗（使用呼气末正压通气进行长期呼吸支持、输液治疗、降钙素、抗生素等）。1981年以前，病死率达70%。无需再次剖腹手术，且避免了器官衰竭（肾脏和肺部）。
