摘要
急性胰腺炎的病因主要是结石堵塞了主胰管开口 ,或酗酒导致了胰腺的微循环障碍和 Oddis括约肌痉挛所致。其病理变化主要是主胰管堵塞后引起的胰腺组织水肿、出血坏死或缺血梗死。重症急性胰腺炎的治疗强调个体化原则 ,近年不主张早期手术 ,而病程早期行内镜下括约肌切开术 ( EST)对缓解病情大有裨益 ,国内外观察资料均表明 EST对急性胰腺炎治疗效果显著。此外 ,合理的内科支持治疗也是非常必要的。
The m ajor cause for acute pancreatitis includes im paction of a gallstone within the sphincter of Oddi or alco- holism leading to m icrocirculation dysfunction of pancreas. Pathologic changes m ay be dom inated by edem a,necrosis hem ar- rhage and ischem ic infarction.Regarding the treatm ent of severe pancreatitis,em phasis should be placed on the theraputic in- dividualization. Recently,early surgical operation is not recom m ended,w here as,endoscopic sphincterotom y( EST) is benefi- cial to the reliefe of patients' condition. It has been indicated by foreign and dom estic data that EST is very effective to acute pancreatitis.In addition,rational medical support is also essential.
出处
《临床误诊误治》
2000年第1期1-3,共3页
Clinical Misdiagnosis & Mistherapy
关键词
胰腺炎
病因学
治疗
诊断
Pancreatic diseases
Pancreatitis/ etiolory
Pancreatitis/ therapy
Endoscopic sphincterotomy
