内镜联合中药治疗重症急性胆源性胰腺炎  

Endoscope Combined with TCM in thr Treament of Severe Acute Billiary Pancreatitis

作　　者：陈阁[1] 吴小伟[1] 王治全[2] 

机构地区：[1]陕西中医学院,2005级研究生陕西咸阳712046 [2]陕西中医学院附属医院,陕西咸阳712000

出　　处：《现代中医药》2008年第1期18-19,共2页Modern Chinese Medicine

摘　　要：目的探讨内镜联合中药治疗重症急性胆源性胰腺炎的技巧与治疗价值。方法回顾分析33例重症急性胆源性胰腺炎采用内镜联合中药治疗临床资料。结果本组33例,成功进行内镜下鼻胆管引流(ENBD)后联合中药治疗,出现胰周感染2例,行胆囊切除、胰腺坏死组织清除、胰周引流术后痊愈;出现胰腺假性囊肿3例,1例经保守治疗后吸收,2例行胰肠吻合术后痊愈;死亡4例,出现急性呼吸窘迫综合征1例,多器官功能不全综合征3例。治愈率87.9%,死亡率12.1%。结论内镜治疗重症急性胆源性胰腺炎,配合中药治疗,可明显减少患者痛苦,缩短病程,提高治愈率。Objective To probe into the skills and values of using endpscope and TCM in treating severe acute billiary pancreatitis. Methods The clinical data of 33 cases with severe acute billiary pancreatitis who were treated with endoscope and TCM were analyzed retrospectively. Results Among 33 patients who were successfully done endoscopic nasobiliary drainage （ENBD） and TCM treatment afterwards, 2 cases had parapancreatic infection, and healed after cholecystectomy, clearance of pancreatic necrotic tissue and parapancreatic drain; 3 cases had pancreatic pseudocyst, and in 1 case the pancreatic pseudocyst was absorbed after conservative treament, the other 2 eases were healed after panceaticoenterosto- my; 4 cases were dead, 1 case had ARDS, 3 cases had MODS. The curative rate was 87.9 % , mortality was 12.1%. Conclusion For treating severe acute billiary pancreatitis, endoscope combined with TCM can obviously reduce the patients′suffering, shorten the disease cource, and improve curative rate.

关 键 词：重症急性胆源性胰腺炎 继发性胰腺炎 内镜 中药 

分 类 号：R657.51[医药卫生—外科学]