区域动脉灌注治疗急性重症胰腺炎10例报告

Report of regional arterial infusion on severe acute pancreatitis patients (10 cases)

目的探讨早期区域动脉灌注治疗急性重症胰腺炎的临床疗效。方法对10例急性重症胰腺炎患者采用区域动脉早期灌注治疗,并进行回顾性分析。结果经区域动脉灌注后第1、3天,白细胞计数分别为(16.42±3.45)×109/L,(13.79±3.23)×109/L;血淀粉酶分别为(303.4±297.6)U/L,(155.4±195.6)U/L;灌注治疗后第1天尿淀粉酶为(487.5±121.5)。均较治疗前明显下降。8例病人(80%)灌注治疗后第3天腹痛明显缓解。全组平均住院时间14.3天,联合手术1例。病死率10%(1/10)。结论早期区域动脉灌注可作为急性重症胰腺炎的安全有效的治疗手段。

[Objective] To investigate the therapeutic effects of regional arterial infusion on severe acute pancreatitis. [Methods] 10 eases of severe aeute pancreatitis treated by regional arterial infusion were analyzed retrospectively. [Result] White blood cell counting and amylase of blood and urine were decreased and abdominal pain was relieved within 3 days followed by the regional arterial infusion in patients. The patients were averaged hospitalized for 14,3 days. [Conclusion] Regional arterial infusion is an effective and safe treatment of severe acute panereatitis.