CAJ | 학술논문

目的：结合手术效果总结重症胰腺炎（S A P）术后引发的肝动脉的血栓（L A T）进行诊断和治疗的经验。方法：以2011年3月～2013年3月S A P患者术后发生LAT患者共4人为研究对象，通过比较患者手术前后的WBC（白细胞计数）、PLT（血小板计数）、ALT（谷丙转氨酶活力）和AST（谷草转氨酶活力）等水平，总结SAP术后LAT诊治经验。结果：SAP术后1～2月间患者ALT进行升高、常规疗效不佳，则应考虑LAT可能，并进行DSA和超声检查以确诊；采取溶栓手段疗效显著，在治疗1月后患者A L T等指标均明显降低（P＜0.05），且在12月后追踪时各指标降至正常范围。结论：S A P术后1～2月内以A L T等指标进行升高为特征，结合DSA和超声检查能判断LAT发生。采用溶栓方法进行医治，能使明显降低ALT等指标水平，且12月后复查效果良好。
목적：결합수술효과총결중증이선염（S A P）술후인발적간동맥적혈전（L A T）진행진단화치료적경험。방법：이2011년3월～2013년3월S A P환자술후발생LAT환자공4인위연구대상，통과비교환자수술전후적WBC（백세포계수）、PLT（혈소판계수）、ALT（곡병전안매활력）화AST（곡초전안매활력）등수평，총결SAP술후LAT진치경험。결과：SAP술후1～2월간환자ALT진행승고、상규료효불가，칙응고필LAT가능，병진행DSA화초성검사이학진；채취용전수단료효현저，재치료1월후환자A L T등지표균명현강저（P＜0.05），차재12월후추종시각지표강지정상범위。결론：S A P술후1～2월내이A L T등지표진행승고위특정，결합DSA화초성검사능판단LAT발생。채용용전방법진행의치，능사명현강저ALT등지표수평，차12월후복사효과량호。
objective: effect of combined surgery summary for severe acute pancreatitis (SAP) caused by hepatic artery thrombosis (LAT) for the diagnosis and treatment experience. Methods: in March 2011 ~ March 2013 SAP patients postoperative LAT, a total of 4 patients with study, by comparing before and after surgery in patients with the WBC (white blood cellcount), PLT platelet count (), ALT (alanine aminotransferase activity) and the level of AST (aspertate aminotransferase activity) and so on, summarizes the experience of diagnosis and treatment of postoperative LAT SAP. Results: after 1 ~ 2 months of SAP patients ALT rise, conventional curative effect is not good, should consider to LAT may, and DSA and ultrasound to diagnose; Resort curative effect is distinct, thrombolysis in patients after 1 month of therapy such as ALT indexes were significantly lower (P < 0.05), and in December after tracking when the index fel to the normal range. Conclusion: SAP postoperative 1 ~ 2 months is characterized by elevated ALT and other indexes, combined with DSA and ultrasound examination can determine LAT. Thrombolysis method is used to heal, can make significantly lower levels of indexes of ALT, and 12 month after the review result is good.