摘要
目的：总结腹腔灌洗法在治疗重症急性胰腺炎病症方面的临床疗效。方法：回顾分析本院2008~2009年收治的60例重症急性胰腺炎患者通过腹腔灌洗治疗后的临床结果。结果：60例患者中,治愈59例,死亡1例。合并其他脏器损害的急性重症胰腺炎32例,心肌损害患者7例,假性囊肿28例,平均住院治疗20～45d。腹水淀粉酶灌洗前、灌洗后24、48h后的比值差异有统计学意义（P〈O.01）。患者的腹部压痛及反跳痛24h后也有明显的改善。结论：在治疗重症急性胰腺炎方面,腹腔灌洗治疗法的临床治疗效果显著,而且治愈率及安全性都比较高。
Objective：To summarize the clinical efficacy of celiac lavage in the treatment of severe acute pancreatitis.Methods：To analize the clinical results of 60 severe acute pancreatitis patients treated by celiac lavage from 2008 to 2010 retrospectively.Results：59 cases were cured,1 case dead.32 cases combined with other organ damage,7 cases with myocardial damage,28 cases of pseudocyst,the average hospitalization was 20~45 days.Ratio difference of ascites amylase before and after lavage after 24 hours and 48 hours was significant（P0.01）,patients with abdominal tenderness and bounce pain after 24 hours also had the obvious improvement.Conclusion：In the treatment of severe acute pancreatitis,celiac lavage therapy in clinical treatment effect is remarkable,and the cure rate is high and safety.
出处
《中国当代医药》
2010年第34期169-170,共2页
China Modern Medicine
关键词
重症急性胰腺炎
腹腔灌洗
疗效
Severe acute pancreatitis
Celiac lavage
Curative effect
