非胆源性重症急性胰腺炎腹腔引流及临床处理的治疗分析  

Analysis of Non Biliogenic Severe Acute Pancreatitis Abdominal Drainage and Clinical Treatment

作　　者：朱云江[1] 

机构地区：[1]黑龙江省黑河市通北林业局医院,164031

出　　处：《中国卫生标准管理》2015年第6期173-174,共2页China Health Standard Management

摘　　要：目的对非胆源性重症急性胰腺炎腹腔引流及临床处理进行探讨分析。方法回顾分析我院收治的24例非胆源性重症急性胰腺炎患者腹腔引流治疗资料,分析临床治疗处理情况。结果所有患者临床症状缓解时间为(5.3±2.1)d;8人痊愈出院,16人带引流管出院;本组患者腹腔引流共56次,其中急性积液和胰腺假性囊肿压迫症状穿刺引流41次(73.2%);因感染、发热穿刺引流15次(26.8%);调整引流管位置102次,引流管周围积液45次;引流管流量减少47次;发热未缓解10次。结论腹腔引流对于非胆源性重症急性胰腺炎具有重要作用,引流管周围积液、引流量减少及发热得不到缓解是调整引流管的重要原因。Objective To abdominal non biliary drainage in severe acute pancreatitis patients and clinical treatment are discussed.MethodsAnalysis of 24 cases of non biliogenic severe acute pancreatitis patients with abdominal drainage in the treatment of data in our hospital.ResultsAll the patients clinical symptom remission time is （5.3±2.1） d; 8 cured, 16 with drainage tube discharge; in this group of patients with peritoneal drainage, a total of 56 times, caused by infection, fever 15 times to adjust the puncture drainage; drainage tube location 102 times, 45 times around the drainage tube effusion; drainage pipe flow to reduce the amount of 47 times 10 times not to alleviate fever.Conclusion Abdominal drainage plays an important role in the non biliogenic severe acute pancreatitis, around the drainage tube, drainage and reduce the effusion fever not ease is an important reason for adjustment of the drainage tube.

关 键 词：非胆源性重症急性胰腺炎 腹腔引流 临床处理 

分 类 号：R657.51[医药卫生—外科学]