重症胰腺炎并发胰腺脓肿的外科处理  

SURGICAL MANAGEMENT OFSEVERE PANCREATITIS ASSOCIATEDWITH PANCREATIC ABSCESS

作　　者：吕永添[1] 陈积圣[1] 

机构地区：[1]中山医科大学孙逸仙纪念医院外科

出　　处：《广东医学》1995年第11期721-722,共2页Guangdong Medical Journal

摘　　要：胰腺炎并发胰腺脓肿非手术治疗死亡率极高，即使手术引流，也可因手术时机过晚或引流不畅而死于脓毒血症或多器官功能衰竭。本文结合９例病例分析，就重症胰腺炎并发胰腺脓肿的诊断和外科处理进行讨论，认为手术的关键是切开脓肿，尽可能清除坏死组织，充分引流．小网膜囊敞开引流是最住引流方式，其优点是可以彻底引流胰周的大量毒性渗液，直接观察胰腺病变的进展，随时清除不断形成的坏死组织。Abstract Nine patients with severe pancreatitis complicated by pancreatic abscess, who had recieved agood result were reported. The result suggests thatthe key of surgical management of these patientsis direct pancreatic drainge, thorough clearance ofnecrotic tissue. The best method of drainge isthrough the bursa omentalis to out side abdominalwall, which is more direct, effective and,easy toobserve.

关 键 词：胰腺炎 胰腺脓肿 外科手术 引流术 超声波诊断 

分 类 号：R657.510.6[医药卫生—外科学] R657.520.5[医药卫生—临床医学]