Analysis of the cause of death in 33 severe acute pancreatitis patients

Objective To analyze the cause of death in severe acute pancreatitis(SAP).Methods Thirty-three death cases with SAP during the past five years were retrospective analyzed in our hospital.The relevance between the early risk factor and prognosis in SAP was investigated.Results Sixteen cases died within a week after the onset of SAP,among these cases 55% were cardiac arrest.78.8% was aged patients.Twelve cases died in a month after onset of SAP,6 of them had septic shock(one case toxic encephalopathy),10 of them had MODS(83.3%).Conclusion The high risk factors resulted in death are elder age,MODS,infection and bleeding.We should pay attention to the support therapy of early organ function in SAP and control the complications actively,especially the aged patients.The operative opportunity and infection control in the late phase are the key points to decrease the mortality in SAP.