急性重症胰腺炎的早期诊断及手术时机选择(附93例报告)  

EARLY DIAGNOSIS AND CHOICE OF OPERATION TIME IN SEVERE ACUTE PANCREATITIS-93 CASES REPORT

作　　者：周永高[1] 杨建辉[1] 唐一飞[1] 胡伟杲[1] 

机构地区：[1]上海市杨浦区市东医院外科,上海200090

出　　处：《肝胆外科杂志》2003年第1期18-19,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨急性重症胰腺炎 (SAP)的早期诊断及手术时机的选择。方法　回顾分析 1980年～ 2 0 0 1年底 93例SAP的治疗经验。根据临床表现、实验室检查及 CT增强扫描早期明确诊断 ,然后根据个体情况选择适当的手术时机。部分病人先在腹腔镜下置冲洗引流管再在适当的时候手术治疗。结果　总治愈率 80 .6 % (75 /93) ,其中置冲洗管引流组的治愈率为88.8% (8/9)。结论　 CT检查有助于 SAP的早期诊断。适时手术可减少并发症 。Objective To explore the early diagnosis and choice of operation time in severe acute pancreatitis (SAP).Methods 93 patients with severe acute pancreatitis from 1980 to 2001 were retrospectively reviewed.Early diagnosis was established by clinical demonstration,laboratory examination and CT enhanced scan,then proper operation time was determined by individuals condition.Under some circumstances,drainage and wash tubes were placed with the help of laparoscope,followed operation treatments were choiced at proper time.Results The general cure rate was 80.6%(75/95),and the cure rate in the group of the placing wash and drainage tube was 88.8%(8/9).Conclusion CT conduced to early diagnosis of SAP.Operation timely leaded to reduce complication,the results of operation treatment after drainage and wash were relatively satisfactorily.

关 键 词：急性重症胰腺炎 早期诊断 手术 

分 类 号：R657.51[医药卫生—外科学]