重型急性胰腺炎并发急性肺损伤的诊治(附23例报告)  

Diagnosis and treatment of acute lung injury with severe acute pancreatitis

作　　者：张义胜[1] 赵国海[1] 蒋勇[1] 

机构地区：[1]皖南医学院弋矶山医院急诊外科,安徽芜湖241001

出　　处：《东南大学学报（医学版）》2001年第3期177-178,共2页Journal of Southeast University(Medical Science Edition)

摘　　要：目的 :探讨重型急性胰腺炎 (SAP)并发急性肺损伤 (ALI)的诊治方法。方法 :对 2 3例SAP并发ALI患者的资料进行回顾性分析。结果 :SAP并发ALI发生率为 5 9% ,经机械通气及生长抑素等综合治疗 ,多器官功能障碍综合征发生率为 2 1.9% ,ALI治愈率为 91.3%。结论 :ALI是SAP早期最常见的并发症 ,根据预警指标警惕ALI的发生是避免漏误诊的关键 。Objective To study the diagnosis and treatment of acute lung injury(ALI) with severe acute pancreatitis(SAP).Method 23 cases of ALI with SAP were analysed retrospectively.Results 23 of 39 patients with SAP were complicated by ALI,with the rate of 59%.All patients were treated by ventilation and somatostatin during ALI,and 22 patients were cured,with the rate of 91.3%.Conclusion ALI is the most common complication in the early course of SAP.Detecting the predictive marker is the key to diagnosis of ALI,however,early and rational application of ventilation and somatostatin is dominant therapeutic method for ALI with SAP.

关 键 词：重型急性胰腺炎 急性肺损伤 机械通气 生长抑素 诊断 治疗 

分 类 号：R657.51[医药卫生—外科学]