摘要
目的比较两种腹腔灌洗引流方法在急性重症胰腺炎的应用。方法对43例ICU重症胰腺炎患者分别行腹膜透析管置入灌洗引流或双套管引流管置入并负压吸引引流,统计分析比较两组效果及并发症发生率。结果腹透管灌洗引流组患者的手术时间、术中出血量少于双套管负压吸引组(P<0.05);双套管负压吸引组血淀粉酶恢复情况、腹胀发生率明显低于腹透管灌洗引流组(P<0.05)。住院时间、死亡率及腹腔脓肿、胰瘘/假性囊肿发生率两组无明显差别(P>0.05)。结论两种引流方法操作简单、方便、安全,双套管负压吸引组有更好的引流效果。
Objective To investigate the clinical effect of two mothods of peritoneal lavage in the treatment of patients with severe acute pancreatitis （SAP）. Methods 43 patients with SAP received peritoneal lavage through placement of peritoneal dialysis cathete or double cannula. The clinical effects and complication .were observed. Results The time of operation of group peritoneal dialysis cathete was significantly shorter than that of group double cannula （P〈0.05）. The volume of blood loss was not so many as group double cannula （P〈0.05）. The time of hospital stay, mortality .rate, peritoneal abscess and pancreatic fistula/pseudocyst were not significant difference in two group. Conclusion Two mothods were simple, convenient, safe. The group of double cannula has preferable effect.
出处
《江西医药》
CAS
2012年第1期9-11,共3页
Jiangxi Medical Journal
关键词
急性重症胰腺炎
腹膜透析灌洗
双套管
负压吸引
Severe acute pancreatitis
Peritoneal lavage
Peritoneal dialysis cathete
Double cannula
Vacuum aspiration
