重症胰腺炎动脉灌注治疗临床分析

Analysis on therapeutic effects of emergent intervention therapy on acute severe pancreatitis and its prognosis

目的 探讨急诊介入治疗对重症胰腺炎患者病情及预后的影响。方法 选取31例行介入治疗的重症胰腺炎病例为实验组,同期34例未行介入治疗的重症胰腺炎病例为对照组。实验组在诊断明确后24h内行动脉内微泵施他宁针等持续灌注,视病情3~9d拔鞘管。结果介入治疗组在腹痛缓解时间、腹膜炎体征消失时间等方面优于对照组,且并发症少。结论 重症胰腺炎患者早期介入治疗在缓解病情、缩短住院日、改善预后方面效果明显,可积极开展。

Objective To investigate the effect of emergent intervention therapy on acute severe pancreatitis and its prognosis. Method 65 acute severe pancreatitis patients were divided into two groups. One is treatment group including 34 cases with emergent intervention therapy, the other is control group including 31 cases without emergent intervention therapy. Patients of treatment group received somafostatin pumping persisted into artery for 3 to 9 days. Results Treatment group was superior to control group in period of abdominal pain and signs of peritonitis. Simultaneously complications in treatment group were fewer than those in control one. Conclusion Emergent intervention therapy on acute severe pancreafitis is significant including shortening in inpatient time and improving of prognosis.