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急性出血坏死性胰腺炎的诊断与手术治疗(附14例报告)

DIAGNOSIS AND OPERATIVE MANAGEMENT OF ACUTE BLEEDING NECROTIC PANCREATITIS(A report of 14 cases)
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摘要 本文报道14例急性出血坏死性胰腺炎手术治疗的结果:14例中11例获成功,3例死亡,14例血、尿淀粉酶阳性率为42.5%,加做腹腔液淀粉酶检查其阳性率提高到71.4%。作者强调术前腹穿对诊断的重要性,并重点讨论了Ranson预后指标与术式选择同预后的关系。 Fourteen patients with acute bleeding necrotic pancreatitis were operated on. The results showed that eleven out of them were successfully treated and other three patients died. The positive rate of urine, blood and peritoneal fluid amylase tests was 28. 9%higher then that of urine and blood amylase test(71.4%vs 42.5%).Importance of preoperative obdominocentesis was stressed. The Ranson's prognostic signs and relation between choice of operative method and prognosis were discussed.
出处 《广东医学院学报》 1995年第2期111-112,共2页 Journal of Guangdong Medical College
关键词 出血坏死性 胰腺炎 外科手术 诊断 预后 acute bleeding necrotic pancreatitis surgery operative diagnosis prognosis
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