Abstract:

Objective To investigate the death causes of patients with fulminant acute pancreatitis(FAP). Methods The clinical data of 30 d patients with FAP admitted to Xuanwu hospital from June 1992 to July 2004 were reviewed and causes of death, clinical characteristics were analyzed. FAPwas defined as presence of organ dysfunction within 72h after onset of symptoms. Results The mortality rate of FAP was 50.85%, MODS was the main cause of FAP. Mortality rate was high in FAPearly, sixteen FAPpatients died within 7d after onset of symptoms(53.33%). Conclusion The characteristic of FAP is high early mortality rate and poor prognosis. To treat MODS early and operate early are the key to reduce mortality of FAP.

Key words: fulminant acute pancreatitis, death causes