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重症急性胰腺炎20例的外科手术治疗
THE SURGICAL OPERATION TREATMENT OF 20 CASES CRITICAL ACUTE PANCREATITIS
【摘要】 目的探讨分析重症急性胰腺炎(SAP)的外科手术治疗方法,减少并发症发生率及死亡率,提高临床疗效。方法回顾性分析手术治疗20例重症急性胰腺炎患者的临床资料。结果本组20例病人均经手术清创引流治疗,治愈15例,占75.00%,死亡5例,占25.00%。,死亡原因:急性暴发性胰腺炎(FAP)2例,胰腺坏死感染继发感染性休克、多器官功能衰竭3例。结论掌握手术适应证进行及时外科手术仍是治疗的重要手段,同时配合非手术治疗是提高SAP疗效的关键。
【Abstract】 Objective Discuss the surgical operation treatment for critical acute pancreatitis(SAP),aimed to reduces the complication rate and mortality rate,enhances the clinical curative effect. Methods Review the clinical material of 20 cases critical acute pancreatitis patient applied surgery treatment. Results This group of 20 patients passes through the surgery to create the drainage treatment,cures 15 examples,accounts for 75.00%,dies 5 examples,accounts for 25.00%.Cause of death: The acute fulminating pancreatitis(FAP)2 example,pancreatic gland necrosis infection followed by infectious shock and multi-organ function failure 3 examples. Conclusion To grasp the indication of operation and carry on in time is the most important measure of treatment,concurrently associated with non-surgical treatment is the key to boost the effect of SAP treatment.
【Key words】 Critical acute pancreatitis; Surgical operation treatment; Indication of operation;
- 【文献出处】 现代医院 ,Modern Hospital , 编辑部邮箱 ,2011年11期
- 【分类号】R657.51
- 【被引频次】2
- 【下载频次】31