中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
39期
96-97
,共2页
胰腺炎%诊断%治疗
胰腺炎%診斷%治療
이선염%진단%치료
pancreatitis%diagnosis%treatment
目的：急性胰腺炎是腹部外科常见急腹症之一，近年来该病的发病率有增高趋势。在各类急性胰腺炎之中，重型胰腺炎起病突然、病势凶险、治疗困难、死亡率很高，是当前临床诊治的难点和重点。其发病机制与胰酶的激活、炎症介质活化、胰腺血循环紊乱、细胞凋亡等因素有关。感染尤其是全身感染是导致急性胰腺炎的主要死亡原因之一，急性胰腺炎时肠道屏障功能障碍，感染往往在确诊后几小时内发生，重症急性胰腺炎更容易出现，细菌主要是消化道细菌易位所致[1]，宜选用对肠道易位的细菌敏感、高效、且对胰腺有较好渗透性的广谱抗生素。我院近年收治急性胰腺炎患者51例，现做分析总结。
目的：急性胰腺炎是腹部外科常見急腹癥之一，近年來該病的髮病率有增高趨勢。在各類急性胰腺炎之中，重型胰腺炎起病突然、病勢兇險、治療睏難、死亡率很高，是噹前臨床診治的難點和重點。其髮病機製與胰酶的激活、炎癥介質活化、胰腺血循環紊亂、細胞凋亡等因素有關。感染尤其是全身感染是導緻急性胰腺炎的主要死亡原因之一，急性胰腺炎時腸道屏障功能障礙，感染往往在確診後幾小時內髮生，重癥急性胰腺炎更容易齣現，細菌主要是消化道細菌易位所緻[1]，宜選用對腸道易位的細菌敏感、高效、且對胰腺有較好滲透性的廣譜抗生素。我院近年收治急性胰腺炎患者51例，現做分析總結。
목적：급성이선염시복부외과상견급복증지일，근년래해병적발병솔유증고추세。재각류급성이선염지중，중형이선염기병돌연、병세흉험、치료곤난、사망솔흔고，시당전림상진치적난점화중점。기발병궤제여이매적격활、염증개질활화、이선혈순배문란、세포조망등인소유관。감염우기시전신감염시도치급성이선염적주요사망원인지일，급성이선염시장도병장공능장애，감염왕왕재학진후궤소시내발생，중증급성이선염경용역출현，세균주요시소화도세균역위소치[1]，의선용대장도역위적세균민감、고효、차대이선유교호삼투성적엄보항생소。아원근년수치급성이선염환자51례，현주분석총결。
Acute pancreatitis is one of common acute abdomen in abdominal surgery, in recent years the incidence of the disease has increased trend. In al types of acute pancreatitis, severe pancreatitis onset is sudden, dangerous, difficult disease treatment, the mortality rate is very high, is the emphasis and difficulty in clinical diagnosis and treatment. the pathogenesis and pancreatin activation, inflammatory mediators, activation of pancreatic blood circulation disorders, apoptosis and other factors. Infection especial y systemic infection is the leading cause of acute pancreatitis is the main cause of death of acute pancreatitis, intestinal barrier dysfunction, infection is often diagnosed in a few hours after the occurrence, severe acute pancreatitis occur more often, bacteria are mainly gastrointestinal bacterial translocation induced by [1], should use on intestinal translocation of bacteria sensitive, efficient, and the pancreas good permeability of broad-spectrum antibiotics. In our hospital treated 51 cases of acute pancreatitis, is to do the analysis summary.
