【摘要】 目的:探讨重症急性胰腺炎引起的腹腔内出血的原因和治疗经验。方法:回顾性分析1997年3月~2007年3月19例重症急性胰腺炎引起的腹腔内出血病例的临床资料。结果:19例患者中死亡9例,总病死率为47.4%。其中行经皮穿刺出血动脉栓塞术(TAE)11例中死亡4例(36.4%),手术8例中死亡3例(37.5%),TAE失败5例中死亡2例(40.0%)。结论:重症急性胰腺炎引起的腹腔内出血的原因以胃十二指肠黏膜糜烂和溃疡出血为主;TAE是治疗重症急性胰腺炎造成的腹腔内出血的简便、安全、有效的方法。更多还原

【Abstract】 Objective: To sum up the experience on diagnosis and treatment of intraabdominal bleeding in severe acute pancreatitis(SAP).Methods: The clinical data of 19 SAP patients with bleeding complications from Mar 1997 to Mar 2007 were analyzed retrospectively.Results: The total mortality was 47.4%(9/19).The mortality was 36.4%(4/11) for transcatheter arterial embolization(TAE),37.5%(3/8) for laparotomy,40%(2/5)for conservative thepary.Conclusion: In SAP most intraabdominal bleedings are hemorrhage of stomach or duodenum ulcer and erosion,TAE is an effective,secure and simple method to treat intraabdominal bleedings in severe acute pancreatitis.更多还原