中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2013年
12期
937-943
,共7页
急性胰腺炎%指南%治疗%循证医学%解读
急性胰腺炎%指南%治療%循證醫學%解讀
급성이선염%지남%치료%순증의학%해독
Acute pancreatitis%Guidelines%Management%Evidence-based medicine%Understanding
急性胰腺炎(AP)是世界范围内常见的需急诊入院救治的急腹症之一,其重症患者病死率高达30％,合理的诊断和治疗需要最新循证医学的证据.自2002年国际胰腺病学会(IAP)公布《IAP急性胰腺炎外科治疗指南》以来,AP的诊断和治疗有了实质性进展.2013年IAP与美国胰腺病协会(APA)根据最新循证医学证据联合制订了《急性胰腺炎治疗的循证性指南》.现就该指南的更新并对比相关指南的变化做一解读.
急性胰腺炎(AP)是世界範圍內常見的需急診入院救治的急腹癥之一,其重癥患者病死率高達30％,閤理的診斷和治療需要最新循證醫學的證據.自2002年國際胰腺病學會(IAP)公佈《IAP急性胰腺炎外科治療指南》以來,AP的診斷和治療有瞭實質性進展.2013年IAP與美國胰腺病協會(APA)根據最新循證醫學證據聯閤製訂瞭《急性胰腺炎治療的循證性指南》.現就該指南的更新併對比相關指南的變化做一解讀.
급성이선염(AP)시세계범위내상견적수급진입원구치적급복증지일,기중증환자병사솔고체30％,합리적진단화치료수요최신순증의학적증거.자2002년국제이선병학회(IAP)공포《IAP급성이선염외과치료지남》이래,AP적진단화치료유료실질성진전.2013년IAP여미국이선병협회(APA)근거최신순증의학증거연합제정료《급성이선염치료적순증성지남》.현취해지남적경신병대비상관지남적변화주일해독.
Acute pancreatitis is one of the most common acute abdominal disease requiring acute hospitalization worldwide.As severe acute pancreatitis associated with mortality up to 30％,rational diagnosis and management requires up-to-date evidence-based treatment guidelines.The "Guidelines for the surgical management of acute pancreatitis" composed by the International Association of Pancreatology (IAP) was published in 2002,since then there have been substantial improvements in the management of acute pancreatitis.The collaboration of the IAP and the American Pancreatic Association (APA) was undertaken to revise these guidelines using an evidence-based approach in 2013 and published their new guidelines "2013 IAP/APA evidence-based guidelines for the management of acute pancreatitis" few months ago.This paper presented the understandings of this new guidelines and compared with related guidelines abroad.
