24例重症急性胰腺炎的治疗体会.docVIP

精品论文 参考文献 24例重症急性胰腺炎的治疗体会 陈松 （四川省凉山州第一人民医院ICU 615000） 【摘要】目的 探讨重症胰腺炎的治疗经验。方法 回顾性分析24例重症胰腺炎的临床资料分析治疗经过，总结经验及其治疗效果。结果 24例重症胰腺炎中有17例经个体化综合治疗后治愈（治愈率70.8%），6例死于多器官功能衰竭，1例死于坏死物腐蚀脾动脉分支大出血，其总死亡率为（29.2%）。治愈病例中有2例因腹腔间隔室综合征行延期手术减压治疗后与非手术治疗相结合治愈。结论 重症胰腺炎以个体化原则非手术治疗为主的综合性治疗措施，灵活掌握中转手术的时机，有效的减少并发症的发生可以提高治愈率。 【关键词】重症胰腺炎 中西医结合 个体化综合治疗 【中图分类号】R657.5+1 【文献标识码】A 【文章编号】2095-1752（2013）08-0106-03 24 treatments of advanced case impatient pancreatitises realize Cool mountain state in Sichuan province first people ICU Chen Song in the hospital 615000 【Summary】The purpose inquires into treatment experience of advanced case pancreatitis.The method review analyzes the clinical data of 24 advanced case pancreatitises to analyze treatment process and tallies up experience and it treatment effect.Have in result 24 advanced case pancreatitises 17 Be cured of(cure rate 70.8%) after synthesizing the treatment by individuation, 6 dies in many organ functions to crock up, one dies in the bad dead thing corrosion Pi artery branch big bleed, its total death rate BE(29.2%).Cure of to have in case 2 because of belly cavity partition room comprehensive advertise for to go to postpone surgical operation decompression a treatment empress and non- surgical operation treatment to combine together to cure of.Conclusion advanced case pancreatitis with individuation principle non- surgical operation treatment is main of comprehensive sex treatment measure, vivid control medium turn the opportune moment of surgical operation, effective of the occurrence of the decrease complications can raise a cure rate. 【Keyword】Advanced case pancreatitis The medium doctor combines The individuation synthesizes a treatment 重症急性胰腺炎（SAP）是外科的常见急腹症，其病理过程复杂，来势凶猛，病情变化快，并发症多死亡率高可达30～60%[1]。重症急性胰腺炎[2]是指伴有下述4项临床表现之一的急性胰腺炎：①伴休克、肺功能障碍、肾功能障碍、消化道大出血等一个或一个以上器官功能障碍；②伴坏死、假囊肿或胰腺脓肿等局部并发症；③Ranson评分至少3分；④APACHEⅡ评分至少8分。近年来随着对胰腺炎发病机制及病理生理基础及临床研究的深入，提出了以个体化临床综合治疗重症急性胰腺炎，提高了重症急性胰腺