重症急性胰腺炎58例治疗分析  

RETROSPECTIVE ANALYSIS ON TREATMENT OF 58 CASES OF SEVERE ACUTE PANCREATITIS

作　　者：许玉花[1] 王磊[1] 郭继中[1] 

机构地区：[1]南京医科大学附属无锡市人民医院消化科,江苏省无锡市214023

出　　处：《中国煤炭工业医学杂志》2013年第10期1647-1649,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨重症急性胰腺炎(severe acute pancreatitis,SAP)的治疗方法及时机选择对预后的影响。方法选取2009年1月—2012年8月的SAP病例58例,评估常规保守治疗、连续性血液滤过(CVVH)、手术三种方法在治疗过程中的时机选择对预后的影响。结果 SAP治疗中积极常规治疗治愈率高;早期(<72h)血液滤过不良反应多,预后差;手术时间越早,病死率越高。结论 SAP的早期宜采取积极的常规保守治疗,稳定内环境;慎重选择血液滤过;推迟手术可减少并发症,提高生存率。Objective To investigate the effect of treatment and opportunity selection on the prognosis in patients with SAP（severe acute pancreatitis）. Methods The clinical data of 58 cases of SAP admitted from Jan. 2009 to Aug. 2012 were reviewed retrospectively. The effect of routine non- surgery method, contin- uous venD- venous hemofiltration（CVVH） and surgery treatment for SAP patients on prognosis and treating opportunity selection were evaluated. Results The recovery rate of SAP patients treated with routine n0n-operation treatment was relatively higher. The SAP patients treated with early CVVH within 72 hours after admitting had a lot of adverse reactions and poor prognosis. Treatment with the earlier opera- tion, the SAP patients had the higher mortality. Conclusions In the early stage of SAP patients should be treated with routine non- surgery method and stabilize internal environment. Selecting CVVH with caution and postponing operation for SAP patients can decrease the complication and improve survival rate.

关 键 词：重症急性胰腺炎 常规治疗 连续性血液滤过 手术治疗 预后 

分 类 号：R576[医药卫生—消化系统]