Korthals C, Pristautz H
Wien Med Wochenschr. 1984 Jul 31;134(13-14):327-33.
The acute pancreatitis, especially the more severe cases with tissue necrosis, requires a high degree of intensive care monitoring and treatment. For the determination of the most suitable moment for surgical intervention, close cooperation between internist and surgeon is inevitable. The initial therapy is principally conservative; in especially severe cases and in cases of biliary pancreatitis, an early operation may be necessary, whereas in most cases of grade II pancreatitis, delayed surgery will be performed. Prerequisite for the success of any operation is optimal pre- and postoperative medical treatment.
急性胰腺炎，尤其是伴有组织坏死的更严重病例，需要高度的重症监护监测和治疗。为了确定最合适的手术干预时机，内科医生和外科医生之间的密切合作是必不可少的。初始治疗主要是保守治疗；在特别严重的病例和胆源性胰腺炎病例中，可能需要早期手术，而在大多数II级胰腺炎病例中，将进行延迟手术。任何手术成功的前提是术前和术后的最佳药物治疗。
