58 cases of severe acute pancreatitis causes of death.docVIP

 PAGE \* MERGEFORMAT 6 58 cases of severe acute pancreatitis causes of death [Keywords:] severe acute pancreatitis, the cause of death Severe acute pancreatitis (severe acute pancreatitis, SAP is a common and extremely dangerous surgical acute abdomen, because of its many complications and high mortality, has been a research focus. In recent years, there are many aspects of diagnosis and treatment progress , but the fatality rate is still hovering around 10% to 20%. Based on the death of 58 patients with severe acute pancreatitis were retrospectively analyzed to further understand the cause of death in patients with SAP, so as to achieve better treatment of disease, prevention and treatment of complications, the purpose of reducing mortality. 1 Clinical data 1.1 General information from January 2002 to December 2007, patients with SAP were treated in our hospital 367 cases, of which 58 patients died, mortality was 15.8%. 34 males and 24 females aged 26 to 68 years. SAP and organ are consistent with the diagnosis of dysfunction of the Chinese Medical Association in 2000 outside the Science Section of the Surgery Branch of pancreatic organ dysfunction related to SAP and the clinical diagnosis and classification criteria [1]. 1.2 Treatment of 367 cases were treated in our hospital in patients with SAP, according to the different treatment groups were divided into surgical and non-surgical treatment group, of which 48 cases surgical treatment group, non-surgical treatment group of 319 patients. Surgical procedures were: pancreas debridement of necrotic tissue, peritoneal drainage, and biliary duct exploration. 2 Results SAP patients died 58 patients died of respiratory distress syndrome (ARDS25 cases (43.1% of total deaths, 18 patients died of infection (31% of total deaths, died of multiple organ failure (MOF12 cases (20.6% of total deaths, 3 patients died of gastrointestinal bleeding (5.2% of total deaths. which operation (+ delayed operati