承德医学院学报
承德醫學院學報
승덕의학원학보
JOURNAL OF CHENGDE MEDICAL
2014年
3期
217-219
,共3页
重症急性胰腺炎%非手术治疗%手术治疗%体会
重癥急性胰腺炎%非手術治療%手術治療%體會
중증급성이선염%비수술치료%수술치료%체회
Severe acute pancreatitis%Non operation%Operation%Experience
目的：探讨重症急性胰腺炎的临床特点和治疗方法。方法：回顾性分析36例重症急性胰腺炎患者的治疗资料。结果：综合性保守治疗24例，3例死亡(12.5%，3/24)；手术治疗12例，1例死亡(8.3%，1/12)。死亡原因包括多脏器功能衰竭、急性呼吸窘迫综合征、感染性休克、应激性溃疡上消化道大出血等。结论：重症急性胰腺炎应据病情强调“个体化”治疗原则，把握好手术适应证和手术时机是提高重症急性胰腺炎治愈率和降低病死率的关键。
目的：探討重癥急性胰腺炎的臨床特點和治療方法。方法：迴顧性分析36例重癥急性胰腺炎患者的治療資料。結果：綜閤性保守治療24例，3例死亡(12.5%，3/24)；手術治療12例，1例死亡(8.3%，1/12)。死亡原因包括多髒器功能衰竭、急性呼吸窘迫綜閤徵、感染性休剋、應激性潰瘍上消化道大齣血等。結論：重癥急性胰腺炎應據病情彊調“箇體化”治療原則，把握好手術適應證和手術時機是提高重癥急性胰腺炎治愈率和降低病死率的關鍵。
목적：탐토중증급성이선염적림상특점화치료방법。방법：회고성분석36례중증급성이선염환자적치료자료。결과：종합성보수치료24례，3례사망(12.5%，3/24)；수술치료12례，1례사망(8.3%，1/12)。사망원인포괄다장기공능쇠갈、급성호흡군박종합정、감염성휴극、응격성궤양상소화도대출혈등。결론：중증급성이선염응거병정강조“개체화”치료원칙，파악호수술괄응증화수술시궤시제고중증급성이선염치유솔화강저병사솔적관건。
Objective: To investigate the clinical features and treatments of severe acute pancreatitis.Methods:The clinical data of 36 severe acute pancreatitis patients were retrospectively analyzed.Results:24 patients received comprehensive conservative treatments, among which 3 patients died, and the death rate was 12.5% (3/24); 12 patients received surgical therapy, and 1 patient died, the death rate was 8.3% (1/12). The causes of death included multiple organ failure, acute respiratory distress syndrome, infectious shock and stress ulcer upper gastrointestinal bleeding. Conclusions:Severe acute pancreatitis should adopt personalized treatment planning. It is the key to improve cure rate and reduce mortality that grasp surgical indications and surgical timing.
