摘要
作者报道了７５例重症急性胰腺炎的治疗及体会。本组患者的治疗依“具体化”原则，对有胰腺感染和脏器功能衰竭者行手术治疗。对年龄大于６０岁者，因更易出现ＭＯＦ，适当放宽手术指征，其余的患者则行积极的保守治疗。此方案可提高治愈率，减少并发症。对单一脏器功能衰竭者应早期手术，以防序贯性ＭＯＦ发生。手术采取胰腺包膜切开、坏死灶清除、胰床松解、多管引流及术后充分胰腺冲洗。作者认为，此术式既清除了坏死灶，又利于防止坏死进一步发展，且引流通畅，疗效满意，可使再次手术机会明显减少。
We report the treatment of 75 patients of severe acute pancreatitis.Operations were performed on patients with pancreatic infection and organ failure according to the principle of “individualization”. Operation was also indicated for the patients aged 60 who had had no improvement after a short period of non operative treatment because of the susceptibility to develop MOF, Non operative treatment was administered to other patients.This therapeutic mode can increase the cure rate while complications can be decreased. Early operation is necessary for patients with single organ failure in case sequential MOF might happen. The main components of operation were elimination of necrostic lesion, lysis of the pancreas, multiple drainage, and adequate postoperative peritoneal lavage.This operation can not only eliminate necrostic tissue, but also prevent progressive pancreatic necrosis.It introduces free drainage,and can bring satisfactory therapeutic result and reduce the possibility of reoperation.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1997年第2期77-79,共3页
Chinese Journal of Surgery
关键词
急性
胰腺炎
手术时机
术式选择
Pancreatitis Surgery,operation Clinical protocols
