重症急性胰腺炎治疗的研究进展  

Treatments of severe acute pancreatitis

作　　者：汤达承[1] 杨星[1] 乔安意[1] 

机构地区：[1]广州医学院第三附属医院肝胆外科,广州510150

出　　处：《国际外科学杂志》2010年第9期628-631,共4页International Journal of Surgery

摘　　要：急性胰腺炎主要由胆石病和过量饮酒引起.总体上,约20%的急性胰腺炎患者发展为重症急性胰腺炎,通常伴有胰腺和胰周组织坏死和/或器官功能衰竭,其病死率超过30%.而在重症急性胰腺炎若干治疗方面,如抗生素的应用、营养支持、手术时机、手术方式等仍存在争议.近年来,微创技术逐渐应用于重症急性胰腺炎的治疗,部分患者可能通过微创手术而获益.Acute pancreatitis（AP） is mainly caused by gallstone disease and excessive alcohol consumption.Overall, about one fifth of patients develop into severe acute pancreatitis（ SAP）, which is still associated with a mortality rate exceeding 30%. This type of AP is usually accompanied by necrosis of the pancreas and/or organ failure. Treatment of SAP in several aspects, such as the application of antibiotics, nutritional support, surgical time, the method of operation, are still in dispute. In recent years, minimally invasive technique is increasingly used in the treatment of SAP, and some patients may benefit from the adoption of minimally invasive surgery.This article aims to review the current progress on the treatment of SAP.

关 键 词：重症急性胰腺炎 营养支持 预防性应用抗生素 手术治疗 微创治疗 

分 类 号：R576[医药卫生—消化系统]