重症急性胰腺炎的救治要点  

Critical components in the management of severe acute pancreatitis

作　　者：宋英晓 吴晓玥 杜奕奇 SONG Ying-xiao;WU Xiao yue;DU Yi-qi(Department of Gastroenterology,the First Affiliated Hospital,Naval Medical University,Shanghai,200433,China)

机构地区：[1]海军军医大学第一附属医院消化内科,上海200433

出　　处：《内科急危重症杂志》2025年第1期26-31,共6页Journal of Critical Care In Internal Medicine

摘　　要：急性胰腺炎是常见的消化系统急症,约20%可进展为重症急性胰腺炎,有较高的病死率。临床上重症急性胰腺炎的救治成功率决定着AP的整体病死率,而SAP的病情复杂多变,救治方式多样。急性期抗炎症反应和脏器功能支持、后期感染性胰腺坏死、腹腔出血、消化道瘘、胰瘘等严重并发症的处理都是SAP救治中的关键环节。Acute pancreatitis(AP)is a common emergency in the digestive system,accounting for over 20%of severe acute pancreatitis(SAP)cases with a high mortality rate.The success rate of treating SAP in clinical practice significantly influences the overall mortality rate associated with acute pancreatitis.Furthermore,SAP is characterized by its complexity and variability,necessitating a diverse range of treatment approaches.The management of acute anti-inflammatory responses and the support of organ function,as well as the treatment of severe complications such as infected pancreatic necrosis(IPN),intra-abdominal hemorrhage,gastrointestinal fistula,and pancreatic fistula in later stages,are all critical components in the management of SAP.

关 键 词：重症 急性胰腺炎 救治 

分 类 号：R378[医药卫生—病原生物学]