目的 分析重症急性胰腺炎（SAP）并发症发生的原因，拟定最佳治疗方案，减少对预后的影响。方法 对1992～2001年收治的35例SAP进行回顾性分析，观察其胰腺病理改变、治疗方式、并发症及其预后间的关系。结果 ①胰周积液者无死亡； ②胰腺组织坏死伴感染时易发生胃肠瘘，创面开放和闭合引流与胃肠瘘的发生无明显关系（Pgt;0.05）； ③4例胰周积液者有胰腺假性囊肿形成； ④胰周积液无感染者平均住院时间为19 d，胰腺及胰周组织坏死者住院时间gt;49 d。结论 急性呼吸窘迫综合征、腹腔脓肿、肠瘘及胰瘘是SAP的主要并发症，可影响其预后。
Objective To study the clinical anatomical basis of the liver hanging maneuver through research of applied anatomy. Methods Retrohepatic portions of the inferior vena cava of 21 cadaver were observed intracavitarily, and the numbers of short hepatic vein (SHV) opening were counted based on different possible pathway of the liver hanging maneuver and different width of retrohepatic tunnel (10 mm, 6 mm). Results The number of SHV was 0 to 3 (median=1) using standard pathway of the liver hanging maneuver in 6 mm retrohepatic tunnel, and the number of SHV was 0 to 2 (median=0) using EM pathway that was on the right border of retrohepatic portion of the inferior vena cava and 1 cm away from the inferior border of liver. There was a significant difference between the EM pathway and standard pathway, P=0.003.Conclusion The results show that setting up a retrohepatic tunnel through the liver hanging maneuver is feasible and safe.