重症急性胰腺炎临床路径探讨

The clinical pathways of severe acute pancreatitis

临床路径作为一种规范化的医疗管理模式,应用于临床已30年,其意义在于维持或改进医疗品质的基础上缩短住院日数、减少医疗费用。就某种疾病而言,大多数病人可以施行临床路径,少部分则须用个案管理来处理。重症急性胰腺炎是普通外科常见的严重急腹症,该疾病病情凶险,复杂多变,治疗过程中个体化差异较大,故在临床工作中,应结合病人实际情况合理应用临床路径。

Clinical pathways has been used in clinical practice for 30 years. As a standardized medical management, it contributes to shorten the length of stay and reduce the cost of medical care on the basis of maintaining and improving the quality of medicine .As for one disease, clinical pathways can be applied to most cases and a few patients would be treated with case management. Severe acute panereatitis is recognized as a common and serious acute abdomen in general surgery , whose condition progresses critically and changes complexly. There are great individualized differences during the course of treating this disease. As a result, clinical pathways should be applied rationally according to realities of the patient in the clinical work.