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急性坏死性胰腺炎严重并发症的防治

Prevention and treatment for severe complication of acute necrotic pancreatitis
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摘要 目的:探讨急性坏死性胰腺炎严重并发症的治疗方法。 方法:回顾性分析研究 1992~ 1999年收治的6 4例急性坏死性胰腺炎严重并发症的详细资料 ,并计算各并发症的发生率。结果 :急性坏死性胰腺炎严重并发症依次为休克 (4 2 .2 %)、急性肺损伤 (34 .4%)、多器官功能障碍 (14.1%)、感染性胰腺坏死 (10 . 9%)、败血症(9.2 %)、胰瘘 (6 .3%)、假性囊肿 (4 .7%)和腹腔内出血 (3.1%)。结论:急性坏死性胰腺炎患者的主要死因为多器官功能障碍、败血症、感染性胰腺坏死、急性肺损伤、休克 ,应采取合理的方法治疗。 Objective: To evaluate the treatment for severe complications caused by acute necrotic pancreatitis (ANP). Methods: From 1992 to 1999, severe complications of 64 cases with ANP were analysed in detail. We calculated the occurring rate for complications of ANP. Results: Severe complications in ANP were shock (42.2%), ALI (acute lung injury) (34.4%), multiple organ dysfunction (MOD) (14.1%), and infection of necrotic pancreas (10.9%), septicemia (9.2%), pancreatic fistula (6.3%), pseudocyst of pancreas (4.7%), and bleeding in abdominal cavity (3.1%). Conclusions: The main causes of their deaths were multiple organ dysfunction, septicemia, and infection of necrotic pancreas, ALI and shock. Severe complications of ANP should be treated with adequate methods.
出处 《新疆医科大学学报》 CAS 2002年第1期76-78,共3页 Journal of Xinjiang Medical University
关键词 急性坏死性胰腺炎 并发症 防治 acute necrotic pancreatitis severe complications prevention and treatment
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  • 1钱光相,解放军医学杂志,1984年,6卷,106页

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