40例急性重症胰腺炎的临床分析  

Clinical Analysis on 40 Cases of Severe Acute Pancreatitis

作　　者：张莘悦[1] 陈卫昌[1] 

机构地区：[1]苏州大学附属第一医院消化内科,江苏苏州215006

出　　处：《中国血液流变学杂志》2013年第1期66-69,共4页Chinese Journal of Hemorheology

摘　　要：的探讨内科综合疗法治疗急性重症胰腺炎（SAP）的疗效及临床诊治经验,为临床治疗提供理论参考.方法对40例SAP患者,根据各患者的个体差异及病情严重程度给予适当的诊疗措施.采用了禁食、胃肠减压、补充血容量、改善微循环、抑制胃酸和胰腺分泌、抗感染、营养支持疗法等内科综合治疗措施.结果该组治愈35例,治愈率87.5%;死亡5例,其中死于急性呼吸困难综合征2例,多器官功能衰竭2例,中毒性休克1例.结论早期正确诊断并及时采取有效的内科综合治疗措施,可以提高疗效,降低SAP患者并发症的发生率和病死率.对于部分SAP患者来说,综合性保守治疗,包括适合的药物治疗等措施可取得较高的治愈率,是目前较为妥当的治疗方法.Objective To explore the internal comprehensive therapy in the treatment of severe acute pancreatitis（SAP） and clinical curative effect of the experience on diagnosis and treatment to provide clinical theoretical reference.Methods 40 cases of SAP patients,according to each individual differences of patients and disease severity got the appropriate diagnosis and treatment with fast,gastrointestinal decompression,adding blood volume,improving microcirculation,inhibiting the gastric acid secretion and pancreas,resistance to infection,nutrition support therapy and medicine comprehensive treatment measures.Results 35 cases were cured,cure rate 87.5%;5 cases died in which 2 died of acute respiratory difficulties syndrome,multiple organ failure in 2 cases,1 case of toxic shock.Conclusion Early accurate diagnosis and taking effective measures of internal comprehensive treatment promptly can improve the efficacy and reduce the incidence of complications and mortality in SAP patients.For some severe acute pancreatitis,comprehensive conservative treatment,including suitable drug therapy measures can get higher cure rate and is the more appropriate treatment.

关 键 词：急性重症胰腺炎 内科综合治疗 

分 类 号：R656[医药卫生—外科学]