抗生素在介入治疗急性重症胰腺炎中的应用(附45例报告)  

45 CASES REPORTED ON THE SEVERE ACUTE PANCREATITIS TREATED BY INTERVENTIONAL ANTIBIOTIC TREATMENT

作　　者：蒋宏传[1] 王克有[1] 马凤藻[1] 

机构地区：[1]首都医科大学附属北京红十字朝阳医院普外科,北京100020

出　　处：《九江医学》2000年第3期127-129,共3页Jiujiang Medical Journal

摘　　要：目的 :研究亚胺培南 -西司他丁钠盐与三代头孢抗生素在介入治疗急性重症胰腺炎中的疗效。方法 :对 45例急性重症胰腺炎患者采用区域性动脉灌注给药 ,首先给予头孢三代抗生素治疗 ,其中 6例感染难以控制 ,改用亚胺培南 -西司他丁钠盐治疗。结果 :用亚胺培南 -西司他丁钠盐的患者感染迅速被控制 ,疗效显著。结论 :在非手术治疗急性重症胰腺炎中介入治疗无疑是一种较理想的方法 ,而亚胺培南 -西司他丁钠盐在控制感染方面疗效显著 ,它的小剂量介入治疗方案 ,将成为控制急性重症胰腺炎的首选方法。OBJECTIVE:To evaluate the effects of imipenem cilastatin sodium and caphaloglycin on the severe acute pancreatitis (SAP) through the interventional treatment.METHODS:45 cases of SAP were administrated with Lavation Arterial Region(LAR), giving cephaloglycin first, but infections in 6 patients couldn't be controlled, then changed to imipenem cilastatin sodium. RESULTS:Infections in the patients given imipenem cilastatin sodium were rapidly controlled and the effects of which were definite.CONCLUSIONS:Interventional method as a ideal method was assured in the nonoperative severe acute pancreatitis, and iminpenem cilastatin sodium is most effective in controlling infections, a minor dose of interventional treatment will be the first choice in controlling severe acute pancreatitis.

关 键 词：急性重症胰腺炎 区域性动脉介入 亚胺培南 西司他丁钠盐 

分 类 号：R978.1[医药卫生—药品] R576.05[医药卫生—药学]