The Actuality And Development Of Treatment Of Severe Acute Pancreatitis

Because of improvements in the management including better diagnostics and treatment modalities, the mortality of severe acute pancreatitis (SAP) has declined duing the past 2 decades, with the development of evidence-based medicine, more and more guidelines in SAP are published and management is trended to convincing scientific. At present, it thought that the pancreas enzyme activates own enaluations, obstruct of bloodcycle in pancreatins and over activayion of leukocytes. SAP in the non-surigal treatment to improve their progress, enhances the surivial rate aspect has played an importment role. The non-surigal is including internal organs function support and maintenance, fluid resuscitation, pancreas to rest, preventing infection, nutritional support, inhibiting pancreatic exocrinosity, improve microcirculation, application of traditional Chinese medicine, early hemofiltration,. The course can be divided into 3 phases: acute reation, infection in the whole body and reside infection.