Clerico D, Valente M, Cardona R, Landra M, Emmolo I, Segre D, Quaranta L, Ferro G F, Ghezzo L, Asnaghi G
I Divisione di Chirurgia Generale, Ospedale Civile S. Croce, Cuneo.
Minerva Chir. 1994 Nov;49(11):1051-4.
During the period between 1-1-1979 and 30-9-1992, 43 cases of hemorrhagic necrotic acute pancreatitis were referred to the authors' attention. Six patients were not operated, 12 underwent emergency surgery and laparotomy was postponed in 25 cases. The introduction of sophisticated diagnostic methods, such as Eco, CT, ERCP, intensive medical therapy and postoperative NPT have allowed a more rational surgical approach in terms of timing and extent to be adopted, operating on patients who are metabolically more stable. NPT is a useful tool in the latter postoperative stage. In the series of patients undergoing emergency laparotomy there was a mortality rate of 66%. The mortality rate fell to 16% in those patients in whom surgery was postponed.
在1979年1月1日至1992年9月30日期间，43例出血坏死性急性胰腺炎病例引起了作者的关注。6例患者未接受手术，12例接受了急诊手术，25例延期进行剖腹手术。诸如超声、CT、内镜逆行胰胆管造影（ERCP）等先进诊断方法的引入、强化内科治疗以及术后营养支持疗法（NPT），使得在手术时机和范围方面能够采取更合理的手术方式，对代谢更稳定的患者进行手术。NPT在术后后期是一种有用的手段。在接受急诊剖腹手术的患者系列中，死亡率为66%。在那些延期手术的患者中，死亡率降至16%。
