摘要
急性胰腺炎的治疗原则已由过去的早期积极手术治疗发展到现在的早期非手术个体化治疗,主要包括液体复苏、抗生素的使用、早期肠内营养、特效药物和我国的传统医学治疗。液体复苏为基础的支持治疗被认为是急性胰腺炎的标准治疗方法,且临床实践中已经得到广泛使用,但对液体复苏所需要的液体种类、速度和持续时间等问题尚未见一致结论,支持治疗的疗效也并不令人满意。不同国家的学者在不断改进液体复苏、抗生素的使用、早期肠内营养、特效药物和我国的传统医学治疗。该文就上述领域内的现状、问题和最新进展进行综述,为急性胰腺炎的治疗提供参考依据。
The principle of treatment of acute pancreatitis in the past has developed from early active surgical treatment to the present early non-operative individualized treatment, mainly including fluid resuscitation, antibiotics, early enteral nutrition, specific effective drugs and traditional Chinese medicine treatment. Fluid resuscitation supportive treatment is con- sidered the standard treatment for acute pancreatitis, and has been widely used in the clinical practice, however the need for liquid recovery liquid type, speed and duration of the problem have achieved no consistent conclusion, and the supportive therapy is not satisfactory. Here is to make a review of the current situation,problems and recent advances in the field,and provide a reference for the treatment of acute pancreatitis.
作者
王助衡
张静
周冠华
WANG Zhuheng ZHANG Jing ZHOU Guanhua.(Department of Critical Care Medicine,Daxing Teaching Hospital, Capital Medical University,Belling 102600, China)
出处
《医学综述》
2017年第1期91-94,99,共5页
Medical Recapitulate
关键词
急性胰腺炎
液体复苏
抗生素
Acute pancreatitis
Fluid resuscitation
Antibiotics
