重症急性胰腺炎的综合治疗

Comprehensive treatment of severe acute pancreatitis

目的探讨重症急性胰腺炎的治疗方法,以提高患者的治愈率,减少并发症和病死率。方法回顾23例重症胰腺炎的临床资料,并分析其诊治的临床效果。本组中开腹手术4例,其余根据病情予以个体化治疗,如机械通气、鼻胆管引流、血液净化、B超或CT定位穿刺置管引流或冲洗引流及中西医结合等治疗。结果21例治愈,2例死亡。结论重症胰腺炎以个体化综合治疗的模式和方法能减少其并发症及病死率。

Objective To approach the methods of treating severe acute pancreatitis so as to enhance the cure rates as well as reducing its complications and mortality rates. Methods Retrospectively the clinical data of 23 cases of severe acute pancreatitis in our department and the effects of the treating methods. 4 of the 23 cases underwent open abdominal surgery and were given individualized treatment such as mechanical ventilation,naso-biliary drainage,continuous blood purification,puncture catheter drainage or irrigation drainage under B ultrasound or C-T localization as well as combining TCM with western medicine according to different disease condition. Results 21 eases were cured and 2 were dead. Conclusion Treating severe acute pancreatitis with comprehensive and individualized methods can reduce its complications and mortality rate.