Briskin B S, Iatsenko A A, Nazarov V N
Vestn Khir Im I I Grek. 1996;155(5):21-4.
An analysis of 77 case histories of people who died from destructive pancreatitis is presented. Medico-tactical errors and complications were found out. A differentiated approach to treatment of acute pancreatitis was shown to be necessary depending on the stage of the disease. Preference is given to complex conservative therapy with the closed-type little-invasive operations. The total amount of patients with acute pancreatitis for the period under analysis is 1644. Postoperative lethality was 46%, total lethality--4.7%.
本文对77例死于坏死性胰腺炎患者的病历进行了分析。找出了医疗策略上的失误及并发症。结果表明,根据疾病阶段对急性胰腺炎进行差异化治疗很有必要。优先采用综合保守治疗并结合封闭式微创操作。分析期内急性胰腺炎患者总数为1644例。术后死亡率为46%,总死亡率为4.7%。