Huang Y, Xing M
First Hospital, Beijing Medical University.
Zhonghua Wai Ke Za Zhi. 1995 Apr;33(4):201-3.
65 patients of acute necrotizing pancreatitis were reported. 36 patients underwent operation with a mortality of 27.8%. However the mortality in 29 patients treated nonoperatively, the mortality was 3.4% because of their less critical condition. In operation group 7 out of 17 patients died (41.2%) with positive results in bacterial smear or culture while all 5 patients with negative results survived. The time from onset to admission in the survivor and the dead was 33 hours and 85 hours respectively. The time from onset to operation was 41 hours in the survivor while 138.8 hours in the dead. So the prognosis related closely to early intensive care therapy and if indicated, surgical intervention timely. The indication and timing of operation were discussed.
报告了65例急性坏死性胰腺炎患者。36例患者接受了手术，死亡率为27.8%。然而，29例非手术治疗的患者中，由于病情较轻，死亡率为3.4%。手术组中，17例细菌涂片或培养结果为阳性的患者中有7例死亡（41.2%），而所有5例结果为阴性的患者均存活。存活者和死亡者从发病到入院的时间分别为33小时和85小时。存活者从发病到手术的时间为41小时，而死亡者为138.8小时。因此，预后与早期重症监护治疗密切相关，如有指征应及时进行手术干预。文中讨论了手术的指征和时机。
