摘要
从发病机制、临床判断预后相关指标、病情演变、病程分期、并发症、治疗手段等方面 ,对重症急性胰腺炎(SAP)进行了归纳、探讨。认为微结石、胆泥阻塞胰管或胆胰管共同通道 ,引起胆汁反流是本病主要病因。胰腺损伤后 ,胰腺组织内释放的多种胰酶及其它物质 ,不但引起胰腺的自身消化 ,还造成胰周脂肪组织的炎症、水肿、出血和坏死成为ANP。“感染———第二次打击”也是其发病机制之一。病程可以为急性反应期、全身感染期、残余感染期。治疗可分为非手术治疗、手术治疗 。
Summation and discussion are made to severe acute pancreatitis(AP)from the points:invasion mechanism,the relative indexes to clinical diagnosis and prognosis,disease development,disease course phases,superventions and treating methods,etc.It's thought that main causes of the disease are small stones,gall mud blocking pancreatic duct or gall and pancreas having the same duct which cause bile regurgitation.After the pancreas is jnjured,many pancreatins and other substances secreted by pancreas tissue not only cause self digestion of pancreas,but inflammation,edema,blooding and necrosis,thus severe AP is formed.Infection-the second attack is also one of the mechanisms of the disease.The course can be divided into 3 phases,i.e.acute reaction,infection in the whloe body and residue infection.Non operation and operation can be used for treatment.Combining TCM and western medicine has become the main method to treat AP.
出处
《浙江中医学院学报》
2002年第2期1-3,8,共4页
Journal of Zhejiang College of Traditional Chinese Medicine
