摘要
目的 观察小儿急性重症胰腺炎围手术期处理对手术后患儿恢复情况的影响。方法 2 0例患儿分两组 ,每 1 0例 1组。围手术期组术前给予禁食、持续胃肠减压、胃肠外营养、抑制胰腺分泌药物如 5 Fu ,同时应用抗生素 ;急诊手术组入院后行急诊手术。结果 围手术期组平均住院 1 9d ,痊愈 7例 ,死亡 1例 ,1例并发肾功能衰竭 ,1例并发胰腺脓肿 ;急诊手术组平均住院 2 6d ,痊愈3例 ,死亡 3例 ,2例并发消化道出血 ,1例并发胰腺脓肿 ,1例并发胰瘘。痊愈率及死亡率两组比较差异有显著性意义。结论 经围手术期给予充分的处理 ,小儿急性重症胰腺炎术后痊愈率提高 ,死亡率及并发症发生率明显降低。
Objective To observe the effects of perioperative disposal on the postoperative recovery from the acute necrotic pancreatitis in children. Methods Twenty patients were randomly divided into two groups ( n =10 in each group). The patients in the periopertive group were forbidden feeding, received gastrointestinal tube continuously and parenteral nutrition, and took medicines like 5 Fu to inhibit pancreatic secretion and antibiotics as well before operation. The patients in the emergency group underwent operation as soon as they were admitted in hospital. Results In the perioperative group, the average time in hospital was 19 days, 7 patients were cured, 1 died, 1 was complicated with renal failure, 1 with pancrea tic obsess. In the emergency group, the average time in hospital was 26 days, 3 patients were cured, 3 died, 2 complicatd with digestive tract hemorrhage, 1 with pancreatic obsess, and 1 with pancreatic fistula. There was significant difference in curative rate and mortality between the two groups ( P < 0.01 ). Conclusion After full disposal in perioperative period of acute necrotic pancreatitis in children, the curative rate was increased obviously, while the mortality and the occurrence of complication was decreased obviously.
出处
《腹部外科》
2001年第6期356-357,共2页
Journal of Abdominal Surgery
