床旁超声在急性重症胰腺炎早期液体复苏的疗效评估  

Efficacy of Bedside Ultrasound for Early-stage Fluid Resuscitation in Severe Acute Pancreatitis

作　　者：卫茂华[1] 袁灵[1] 王贵强[1] 杨盛泉[1] 冯均建[1] 

机构地区：[1]泸州市人民医院重症医学科,四川泸州646000

出　　处：《四川医学》2016年第3期344-346,共3页Sichuan Medical Journal

摘　　要：目的探讨床旁超声在急性重症胰腺炎早期液体复苏的疗效评估。方法回顾性分析采用控制性液体复苏的25例急性重症胰腺炎患者(观察组)的液体复苏过程,并与同期采用充分大容量液体复苏的25例急性胰腺炎患者(对照组)床旁超声的各项指标变化及并发症发生情况进行对比分析。结果与对照组相比,控制性液体复苏能降低胸腹水发生率,明显减少容量负荷过重,降低ACS、ARDS及心衰等并发症的发生率,显著提高重症胰腺炎的治疗效果,差异有统计学意义(P<0.05)。结论控制性液体复苏在急性重症胰腺炎早期治疗中并发症较少,生命体征更趋平稳,且床旁超声在急性重症胰腺炎早期液体复苏的疗效评估有很高价值。Objective To investigate the efficacy of bedside ultrasound for early-stage fluid resuscitation in severe acute pancreatitis. Methods A retrospective study was conducted to analyze the clinical data of 50 patients with severe acute pancreatitis. Among the 50 patients,restrictive fluid resuscitation were conducted in 25 patients（ observation group） and the other 25 patients received large-volume fluid resuscitation（ control group）. Each ultrasound index and the complication rate of the two groups were compared. Results Restrictive fluid resuscitation significantly reduced the occurrence of pleuroperitoneal fluid,ACS,ARDS,heart failure and other complications and improved the curative effect compared with large-volume fluid resuscitation（ P〈0. 05）. Conclusion Patients received restrictive fluid resuscitation in the early stage of severe acute pancreatitis had more stable vital signs with less complications occurring. And the bedside ultrasound is effective in evaluating the curative effect of early-stage fluid resuscitation for severe acute pancreatitis patients.

关 键 词：床旁超声 急性重症胰腺炎 液体复苏 

分 类 号：R576[医药卫生—消化系统]