摘要
目的提高重症急性胰腺炎的疗效。方法回顾性分析近10年来14例经手术治疗的SAP患者临床资料。结果14例患者中,合并休克者10例,胰脑病2例,MOF2例,ARDS2例,病死率为28%(4/14)。结论降低死亡率的关键在于围手术期的正确处理,特别是病程早期。首先,应加强围手术期的个体化监护,进行综合治疗,其次,抑制胰腺的外分泌;第三,早期使用足量的有效抗生素;第四,进行周围静脉的营养支持;第五,加强围手术期并发症的防治。
Objective To improve curative effects of severe acute pancreatitis(SAP). Methods Clinical characteristics of 14 cases of SAP operated in the past 10 years were retrospectively analyzed. Results The complications included shock in 10,pancreatic encephalopathy in 2,MoF in 2,and ARDS in 2.Mortality rate was 28%(4/14). Conclusion The key of decreasing mortality rate is correct treatment perioperatively,especially early of course of disease. First, to strengthen individualization monitor of perioperation and do synthesis treatment; second, to restrain pancreas' external secretion; third, to make use of effective antibiotic as early as possible; fourth, to do nutritional support of peripheral vein; fifth, to enhance complication prevention and treatment perioperatively.
出处
《中国航天医药杂志》
2004年第3期12-13,共2页
Medical Journal of CASE
