急性坏死性胰腺炎的综合治疗  

Comprehensive treatment of acute hemorrhagic necrotizing pancreatitis

作　　者：孙侃[1] 徐善勇[1] 李宁[1] 

机构地区：[1]黑龙江省医院普外科,哈尔滨150030

出　　处：《中国急救医学》2008年第5期454-456,共3页Chinese Journal of Critical Care Medicine

摘　　要：急性坏死性胰腺炎是良性疾病,但其死亡率可超过10%,80%的死亡患者与感染有关。因此,控制感染是治疗急性胰腺炎、降低死亡率的关键。本文主要对动脉介入治疗、SDD及经肠内营养等方法控制急性坏死性胰腺炎中的感染,从而治疗急性坏死性胰腺炎的可行性、有效性进行综述。Acute hemorrhagic necrotizing pancreatitis is a benign disease, but its mortality exceeds 10% , and 80% of death is related to severe infection. Therefore, the control of infection is important for the decrease of mortality. Bacterial translocation （ BT） is a serious phenomenon accompanying with acute hemorrhagic necrotizing pancreatitis. In order to eliminate BT and simultaneously to increase the systemic immune function, the comprehensive treatment including selective decontamination of the digestive tract （ SDD ）, arterial injection of aprotinin and antibiotics and other methods such as enteral nutrition is initially applied in our hospital. During the process of treatment, the valuable experience is summed up and elaborated in this article.

关 键 词：急性坏死性胰腺炎 感染 动脉介入治疗 选择性消化道内杀菌 肠内营养 

分 类 号：R657.51[医药卫生—外科学]