暴发性重症急性胰腺炎的临床特点及诊治体会  

Clinical feature and experience of diagnosis and treatment in patients with fulminant severe acute pancreatitis

作　　者：于松宁[1] 雷鹏[1] 

机构地区：[1]宁夏医学院附属医院,宁夏银川750004

出　　处：《宁夏医学杂志》2005年第7期466-468,共3页Ningxia Medical Journal

摘　　要：目的认识暴发性重症急性胰腺炎(fulminantsevereacutepancreatitis,FSAP)的临床特点,总结FSAP的诊治经验。方法回顾分析2002年1月-2004年12月收治的5例FSAP发生、发展的特点,整理FSAP的诊断和治疗经验。结果5例患者发病早期均出现低氧血症,均有1-3个器官出现衰竭;早期手术治疗3例,非手术治疗2例,死亡2例,治愈出院3例。结论多器官系统衰竭、胰腺病变重、早期发生低氧血症和高APACHE-Ⅱ评分是FSAP的主要特征;早期诊断,及早地纠正低氧血症和合理的手术时机是治疗的关键。Objective To study the clinical feature of FSAP and explore the methods of diagnosis and treatment of FSAP.Methods 5 cases from 2002 to 2004 in our hospital were studied,the clinical feature,the experience of diagnosis and treatment was analysised and summaried.Results All 5 patients had hypoxemia and organ functions deteriorating in earlier period;3 patients had given early operation ,2 cases had given non-operative therapy;Among 5 patients ,3 patients were cured and 2 patients died.Conclusion The clinical feature of FSAP is high incidence of MODS, severe pathological changes of pancreas, hypoxemia in earlier period and high score of APACHE-Ⅱ;The key point of treatment is early diagnosis ,redressing hypoxemia in time and choicing reasonable time of operation.

关 键 词：爆发性 重症急性胰腺炎 临床特点 治疗 

分 类 号：R576[医药卫生—消化系统]