急性重症胰腺炎的临床特点及处理对策  

Clinical characteristic and treatment of severe acute pancreatitis

作　　者：高鹏[1] 司继媛[1] 

机构地区：[1]山东省济宁市第一人民医院,272100

出　　处：《中国医学创新》2009年第30期109-110,共2页Medical Innovation of China

摘　　要：目的探讨急性重症胰腺炎的临床特点及处理对策。方法回顾性分析34例急性重症胰腺炎患者的临床资料。结果17例出现肺功能不全，占50％；早期出观低氧血症19例，占55．8％；腹腔室隔综合征20例，占58．8％；休克12例，占352％。其中痊愈30例，死亡4例。结论急性重症胰腺炎发病急、病情发展怏，容易引起多脏器功能不全，因而病死率高，应加强全身各脏器功能的监测及处理，以达到最佳的预后。Objective To discuss the clinical characteristic and treatment of severe acute pancreatitis（SAP）. Methods 34 eases of patients with severe acute pancreatitis were cured through no - operative therapy from Jan 2006 to Oct 2007. Results Among these patients, ARDS occured to 17 cases （50%） , hyoxemia to 19 cases（55.8% ） at the early time, ACS to 20 cases（58.8% ） , shock to 12 cases（35.2% ）. 30 cases were recovered, and 4 cases were dead. Conclusion Severe acute pancreatitis has the characteristic： of sudden onset, it often caused MODS, and the mortality rate was higher. So paying more attention to monitor the function of every organ was advised, and that made patientes achieve the best prognosis.

关 键 词：胰腺炎 重症 处理 

分 类 号：R657.51[医药卫生—外科学] R59[医药卫生—临床医学]