中西医结合治疗重症急性胆源性胰腺炎157例

Treatment of 157 Cases of Severe Acute Biliary Pancreatitis by Integrated Traditional Chinese and Western Medicine

目的:总结中西医结合治疗重症急性胆源性胰腺炎的疗效。方法:回顾分析157例中西医结合治疗患者的住院时间、并发症发生率、手术中转率和病死率。结果:患者平均住院时间为(28.2±16.4)d,手术中转率12.7%,ARDS、肾功能衰竭、肝功能衰竭和心功能衰竭发生率分别为48.4%、13.4%、52.9%和14.6%,脑病、消化道出血、感染和假性囊肿发生率分别为12.7%、5.1%、14.0%和10.8%。结论:中西医结合治疗重症急性胆源性胰腺炎取得与ERCP和EST相似的疗效,但具体机制尚待进一步研究。

Objective To summarize the therapeutic effect of severe acute biliary panereatitis（SABP） treated by integrated traditional Chinese and western medicine Methods From January 2003 to September 2005, according to the criteria, 157 patients with SABP were admitted, and treated by integrated traditional Chinese and western medicine. The duration of hospitalization, operation rate, morbidity and mortality were analyzed retrospectively. Results The average hospitalization period was 28.2 ± 16.4 d, operation rate was 12.7%, the incidences of ARDS, renal failure, hepatic dysfunction and acute cardiac inadequacy were 48.4%, 13.4% ,52.9% and 14.6%. The incidences of encephalopathy, gastrointestinal hemontmge, refection and pseudocyst were 12.7% ,5.1%, 14.0% and 10.8% respectively. Condusion The therapeutic effect of SABP treated by integrated traditional Chinese and western medicine is similar to that treated by endoscopic retrograde cholaniopancreatography and endoscopic sphincterotomy. However, the mechanism needs further study.