中西医结合治疗重症急性胰腺炎(附30例报告)  

Application of combined Chinese and western medicine to the treatment of severe acute pancreatitis

作　　者：任茂才[1] 宋林学[1] 洪明[1] 仝蜀生[1] 张耘[1] 潘金国[1] 刘蜀[1] 陈波[1] 段世刚[1] 

机构地区：[1]重庆市第九人民医院外一科,400700

出　　处：《肝胆胰外科杂志》2000年第2期78-79,共2页Journal of Hepatopancreatobiliary Surgery

基　　金：重庆市卫生局临床科研基金

摘　　要：目的 :探索中西医结合治疗重症急性胰腺炎 (Severe Acute Pancreatitis SAP)的方法。方法 :基本支持治疗加川芎嗪注射液 10～ 12 ml(2 ml:40 mg)、复方丹参注射液 2 0～ 30 ml(1m l:1g)、甲氰咪胍注射液 0 .8～ 1.2 g、5 - Fu0 .2 5～ 0 .5 g,静滴 ,每日 1次 ,平均疗程 12天。结果 :30例中 ,治愈 2 8例 ,死亡 2例 ,病死率 6 .6 7% (2 / 30 ) ;死亡原因为休克、ARDS、MOF,平均住院日 18天。随访 2 8例 ,平均随访时间 1.6年 ,无明显后遗症。结论 :本法能提高 SAP的治愈率 ,降低死亡率 ,减少并发症的发生率 ,医疗费用较低 ,使用方便。Objective:To explore an approach to the treatment of severe acute pancreatitis(SAP) by integrating traditional Chinese and western medicine . Methods:Ligustrazine,complex salvia miltior rhiza,cimetidine and 5-Fu intravenous perfusion were given while foundational supporting treatment was provided.Results:Of 30 consecutive cases,2 cases died of shock、ARDS、MOF and 28 who were cured were followed-up,the average follow-up time is 1.6 years.There were no obvious sequelae.Conclusion:This method can improve cure rate,decrease mortality and morbidity.It is cheaper and can be used easily.

关 键 词：胰腺炎 川芎嗪 复方丹参 四氰米呱 5-FU 治疗 

分 类 号：R657.51[医药卫生—外科学]