【摘要】目的:观察并探讨急性胰腺炎并发症的临床病程及诊断和处理方法。方法：对我院采用手术或非手术治疗的78例急性胰腺炎并发症的诊断和治疗的临床资料进行回顾性分析。结果：78例病例存活73人，总的存活率93.59%(73/78)，死亡5例，总的死亡率为6.41%(5/78)，其中手术治疗23例，存活21例，手术存活率91.30%(21/23)。感染、急性呼吸功能衰竭、急性肾功能衰竭、MODS等为致死性并发症。结论：勤于观察、早期诊断是关键，掌握正确的诊治手段以避免急性胰腺炎不同时期各类并发症漏诊、误诊，强调除常规治疗外，应根据患者的具体情况，针对不同并发症及早给予相应个体化综合治疗。

    【关键词】急性胰腺炎 并发症 个体化治疗

    Clinicalanalysisoftherapyforcomplicationsofacute pancreatitis

    Wang YongYingZhong huaDepartment ofGeneral surgery, the CentralHospitalof NanhuiDistrict ,Shanghai201300,China.

    【Abstract】Objective： To investigate the clinical course and strategy of therapy for complicationsofacute pancreatitis. Methods：From Jan. 2000 to Jan. 2006, 78 patients with acute pancreatitis were treated operatively or non- operatively. The clinical data ofobservations onthe courseofthese patientswereanalyzedretrospectively. Results ：Of the 78 patients,73 survival, the survival rate being 93.59% .In all cases 23 patients have undergone operation ,a survival rate of 91.30%. Infection ......