急性重症胰腺炎内科综合治疗的临床研究

Clinical Study of Comprehensive Physical Treatment of Acute Severe Pancreatitis

目的 探讨急性重症胰腺炎内科综合治疗的方法和疗效。方法 观察总结近年来35例急性重症胰腺炎经内科综合治疗的诊治经验,并与以往传统治疗方法进行比较。结果 35例患者经内科综合治疗治愈31例,4例转外科后死亡3例,病死率8. 6 % ,内科治愈率88. 6 %。结论 急性重症胰腺炎的内科综合治疗疗效较好,应注意加强监护,早期应用生长抑素、合理选用广谱抗生素、营养支持、配合应用中药促进胃肠功能恢复、必要时进行腹腔灌洗及行内镜下十二指肠胆总管括约肌切开取石术。

Objective To explore the method and effect of the physical treatment of acute severe pancreatitis. Methods To observe and summary the experiences of diagnosis and therapy of 35 cases suffered acute severe pancreatitis were treated by comprehensive physical treatment, and compared with the methods of traditional treatment. Results 31 cases among 35cases were cured by comprehensive physical treatment,4 cases transferred to surgery and 3cases died, the died rate was 8.6%,the cure rate was 88.6%. Conclusions The curative effect of acute severe pancreatitis was good, including strengthen guardianship, applying somotostine early, selecting broad-spectrum antibiotic approprately,nutrition supporting,cooperated applying Chinese drug to recover the gastroenteric function, applying the operation of irritating and washing abdominal cavity and ERCP in case of necessity.