摘要
探讨早期手术及腹腔持续灌洗对重症急性胰腺炎 (SAP)患者的疗效。方法 回顾性分析 55例SAP的临床特征、手术方式、腹腔灌洗方法及治疗效果。结果 本组平均住院天数为 3 9d± 8d。术后并发症发生率为 3 1% ( 17例 38例次 ) ,包括 :胰性脑病 ( 4例次 )、肾功能衰竭 ( 5例次 )、上消化道大出血 ( 6例次 )、肠梗阻 ( 4例次 )、成人型呼吸窘迫综合征 (ARDS) ( 8例次 )、多器官功能障碍综合征 (MODS) ( 5例次 )、腹腔大出血 ( 2例次 )、胰瘘( 4例次 )。死亡 7例 ,病死率为 12 7% ,其中死于MODS 5例 ,腹腔大出血 1例和上消化道大出血 1例。结论 早期手术及腹腔持续灌洗可以降低SAP病死率 ,缩短病程 。
Objective To investigate the effects of early operation and continuous irrigation of peritoneal cavity for severe acute pancreatitis(SAP). Methods Retrospective analysis was made on the clinical features, operative procedures, method of peritoneal cavity irrigation, and therapeutic effect in 55 patients with SAP. Results The average time stayed in hospital of these patients was 39?d±8?d. Complications included pancreatic encephalopathy(4), kindey failure(5), hemorrhea of upper digestive tract(6), intestinal obstruction(4), peritoneal cavity hemorrhage(2), pancreatic fistula(4), ARDS(8) and MODS(5) occurred in 17 patients(38 times), the morbidity was 31%. 7 patients died, the mortality was 12.7%, the cause of death was MODS(5), peritoneal cavity hemorrhage(1) and hemorrhage of upper digestive tract(1). Conclusions Early operation and coninuous irrigation of peritoneal cavity may decrease the mortality, shorten the course and increase the therapeutic effect of SAP.
出处
《中国普通外科杂志》
CAS
CSCD
2000年第3期210-212,共3页
China Journal of General Surgery
关键词
胰腺炎
急性病
并发症
外科手术
治疗
PANCREATITIS/surg
ACUTE DISEASE
RESPIRATORY DISTRESS SYNDROME,ADULT/compl
