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重症急性胰腺炎的早期预测及综合疗法

Early diagnosis and Combined modality therapy on severe acute pancreatitis
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摘要 目的探讨重症急性胰腺炎(SAP)的早期预测与治疗.方法本组125例均行手术治疗,1997年3月~2000年3月71例SAP,按照APACHEⅡ标准诊断为SAP,2001年3月~2004年3月54例急性胰腺炎(AP)先行抗坏血酸(ascorbic acid,AA)水平预测SAP,并行综合疗法,其中50例(93%)发展成SAP作为治疗组.结果研究表明,治疗组能减少并发症,降低死亡率,缩短住院天数.结论依照AA预测SAP及早行综合疗法非手术治疗SAP,有潜在的临床应用价值. Objective: To explore the early prediction of SAP and treatment, Methods: 125 cases with SAP were treated in ICU from March, 1997 to March, 2004. 71 eases with SAP were diagnosed with APACHE Ⅱ from March, 1997 to March, 2000,54 cases with AP firstly were preeonceiced patients with SAP by the level of AA and later 50 cases (93% of 54 eases) with AP proved to be SAP. Result: In the treatment group the length of hospitalization were siginificandy shorter, the reduction of complications and the increases of survival could be observed. Conclusion: Early diagnosis by AA and combined modality therapy may be a new way for treating SAP and it has potential clinical application.
作者 张玉军 安兵
出处 《泰山医学院学报》 CAS 2005年第4期329-330,共2页 Journal of Taishan Medical College
关键词 胰腺炎 抗坏血酸 综合疗法 severe acute pancreatitis, as c orbit acid combined modality therapy
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