CAJ | 학술논문

目的探讨暴发性急性胰腺炎(FAP)并发腹腔间隔室综合征(ACS)的治疗方法.方法 2009年1月至2011年12月共收治FAP 25例,其中FAP并发ACS 18例.回顾性比较了该18例患者早期手术治疗与非手术治疗的疗效.结果 18例FAP并发ACS患者中,7例接受非手术治疗,死亡率42.9％;早期手术治疗11例,死亡率27.3％,两者之间差异有统计学意义.结论对FAP并发ACS患者及时充分腹腔减压,能够改善各脏器功能及其血液循环.腹腔减压以手术引流的减压效果更为确定有效,可明显降低患者死亡率.
목적 탐토폭발성급성이선염(FAP)병발복강간격실종합정(ACS)적치료방법.방법 2009년1월지2011년12월공수치FAP 25례,기중FAP병발ACS 18례.회고성비교료해18례환자조기수술치료여비수술치료적료효.결과 18례FAP병발ACS환자중,7례접수비수술치료,사망솔42.9％;조기수술치료11례,사망솔27.3％,량자지간차이유통계학의의.결론 대FAP병발ACS환자급시충분복강감압,능구개선각장기공능급기혈액순배.복강감압이수술인류적감압효과경위학정유효,가명현강저환자사망솔.
Objective To study the treatment of abdominal compartment syndrome(ACS) secondary to fulminant acute pancreatitis (FAP).Method A retrospective study was conducted from Jan.2009 to Dec.2011 to analyze the therapeutic results of 18 patients with ACS secondary to FAP.Results Three out of 7 patients who received non-operative therapy died (mortality rate 42.9％).Three out of 11 patients treated with early surgery died (mortality rate 27.3％),which was significantly better than those patients treated conservatively.Conclusion A reduction in intra-abdominal pressure improved the function of the viscera in the treatment of ACS secondary to FAP.The decompressive effects of early surgery was efficacious,and it reduced the mortality rate.