重症急性胰腺炎血液净化治疗  

Blood purification treatment in severe acute pancreatitis

作　　者：虞文魁[1] 石佳靓[1] 

机构地区：[1]南京军区南京总医院普通外科研究所,江苏南京210002

出　　处：《中国实用内科杂志》2016年第5期365-367,共3页Chinese Journal of Practical Internal Medicine

基　　金：国家自然科学基金面上项目(81270884)

摘　　要：重症急性胰腺炎(SAP)一般会经历严重炎症反应和胰腺或胰周坏死组织感染两个阶段,以病情复杂,合并症多为特点。随着技术的进步,血液净化治疗的治疗范围已从肾脏疾病延伸到如SAP等肾外疾病的治疗。目前血液净化在SAP治疗中仍存在很多争议。文章综述了近年来相关研究文献,结合笔者临床工作,对血液净化治疗在SAP患者合并严重炎症反应综合征、急性肾功能障碍、腹腔高压、高脂血症性胰腺炎等应用进行概述。Severe acute pancreatitis is characterized by the presence of persistent single-organ or multiorgan failure （defined by organ failure that is present for ≥48 h）. Recently, more and more studies have shown that blood purification （BP） could help patients with either kidney dysfunction or other extrarenal disorders. However, there are many controversies on the extrarenal use of blood purification. We reviewed the blood purification theraphy for severe acute pancreatitis patients with systemic inflammatory response syndrome, acute kidney injury, intra-abdominal hypertension and hypertriglyceridemic pancreatitis.

关 键 词：重症急性胰腺炎 血液净化治疗 炎症反应综合征 急性肾损伤 腹腔高压 高脂血症性胰腺炎 

分 类 号：R459.5[医药卫生—治疗学]