微创腹腔灌洗及空肠上段大黄灌注治疗重症胰腺炎28例

Treatment of Severe Acute Pancreatitis(SAP)for 28 Cases with Micro-injured Peritoneal Washing Plus Pars Superior Intestinum Jejunum Radix Etrhizoma Rhei Inject

目的探讨微创腹腔灌洗及空肠上段大黄灌注治疗重症胰腺炎的临床疗效。方法28例重症胰腺炎患者采用腹部介入置管入髋窝行腹腔引流及持续腹腔灌洗,在X线引导下置十二指肠管入空肠上段行大黄灌注,并作为肠道营养通道。结果28例重症胰腺炎患者中,2例死亡,4例出现胰腺假性囊肿,其余患者均治愈出院。结论微创腹腔灌洗及空肠上段大黄灌注治疗重症胰腺炎能显著提高抢救成功率,降低死亡率,缩短病程,减少并发症。

Objective:To investigate the therapeutic efficacy of micro-injured peritoneal washing plus intestinum jejunum radix et rhizoma rhei in severe acute pancreatitis(SAP).Methods Twenty-eight cases with Severe acute pancreatitis(SAP)were treated in the hospital during 2001,1～003,12 by micro-injured peritoneal washing.Duodenal tube was inserted into pars superior intestinum jejunum in X-ray for radix etrhizoma rhei injection and total enteral nutional.Results:There were 2 cases death,4 cases pseudo-cycloides pancreatitis, and 22 patients were cured.Conclusion:Micro-injured in peritoneal washing plus pars superior intestinum jejunum radix etrhizoma rhei injection could increase succession rate and reduce death rate and complications in treatment of severe acute pancreatitis(SAP).