重症急性胰腺炎并发症的防治  

THE PREVENTION AND CURE FOR COMPLICATIONS OF SEVERE ACUTE PANCREATITIS.

作　　者：马宏光[1] 陈桂滋[1] 贾振庚[1] 潘瑞芹[1] 

机构地区：[1]中日友好医院普外科,北京100029

出　　处：《肝胆外科杂志》1999年第5期331-333,共3页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨重症急性胰腺炎的主要并发症的原因及防治手段。方法　对１９８４年１０月至１９９８年１０ 月收治的３６ 例重症急性胰腺炎进行回顾性分析，并对主要并发症的危险因素和采取的治疗方法进行总结。结果　３６ 例重症急性胰腺炎中各类并发症９１例次，平均每例２．５３ 次，其中以肺损害、循环衰竭、水电解质紊乱、腹腔脓肿、胰瘘及胃肠瘘为常见。治愈率达７２％ 。结论　成人呼吸窘迫综合征（ＡＲＤＳ）、腹腔脓肿、胰瘘和肠瘘为重症急性胰腺炎的主要并发症，死亡率高，应重点防治，积极处理。Objective To investigate the cause and treatment for the complications of severe acute pancreatitis(SAP).Method A retrospective analysis was made on 36 SAP cases admitted from Oct.1984 to Oct.1998 in order to evaluate the risk factors of complications and management.Result The 91 varied complications were happened in 36 SAP cases,mean 2.53 in each case.The most common complications were as follow:pulmonary injuries (ARDS),failure of circulation and shock,disturbance of water electolytes and acid-base balance,abdominal abscess,pancreatic fistulas and gastrointestinal fistulas.The compositive cure rate in 72%.Conclusion The ARDS,abdominal abscess,pancreatic fistulas and gastrointestinal fistulas are the main complications of SAP,they should been prevented and treated streesly.

关 键 词：重症 急性 胰腺炎 并发症 全身炎症反应 防治 

分 类 号：R364.5[医药卫生—病理学] R657.510.6[医药卫生—基础医学]