Shaak T V, Zinevich V P, Ivanova R M
Vestn Khir Im I I Grek. 1980 Aug;125(8):63-7.
The article analyzes the experience of treatment of 1003 patients with acute pancreatitis for 17 years. The method of choice was the early complex intensive conservative treatment performed in full detail. It proved to be effective in 87.3% of patients (876). There were no lethal outcomes. In 12.7% of patients (127) with acute pancreatitis operations were performed with clinical picture of apparent pancreatitis, pancreatonecrosis with progressing collapse, purulent pancreatitis and cholecystopancreatitis. In most patients (111) the method of surgery consisted in external drainage of the bile-excretory ducts, tamponage and drainage of the bursa omentalis and the retroperitoneal space. The postoperative lethality was 24%. The postoperative lethality of pancreatonecrosis and purulent pancreatitis was 30%. General lethality was 3%.
本文分析了17年间1003例急性胰腺炎患者的治疗经验。所选方法为详细实施的早期综合强化保守治疗。结果表明，该方法在87.3%（876例）的患者中有效，无死亡病例。12.7%（127例）的急性胰腺炎患者因出现明显胰腺炎、进行性坏死性胰腺炎伴病情恶化、化脓性胰腺炎和胆囊胰腺炎的临床表现而接受手术。大多数患者（111例）的手术方法包括胆管外引流、网膜囊和腹膜后间隙填塞及引流。术后死亡率为24%。坏死性胰腺炎和化脓性胰腺炎的术后死亡率为30%。总死亡率为3%。
