重症急性胰腺炎168例临床观察

Clinical Observation of Severe Acute Pancreatitis in 168 Patients

目的:探讨促进肠动力恢复治疗重症急性胰腺炎的疗效。方法:以是否合并肠失动力作为分型标准对急性胰腺炎进行分型,共有168例合并肠失动力分型为重症急性胰腺炎。168例重症急性胰腺炎治疗采用早期液体复苏及促进肠动力恢复。结果:168例重症急性胰腺炎中治愈166例,死亡2例。结论:将急性胰腺炎是否合并肠失动力作为评估病情轻重的分型方法简便实用。治疗重症急性胰腺炎强调早期液体复苏和促进肠动力恢复,能明显改善预后。

Objective：To discuss the application of power treatment measures and to promote the gastrointestinal motility in patients with severe acute pancreatitis. Methods：The cases of acute pancreatitis in our hospital in September 2004～August 2009 were classified by a standard whether it had intestinal failure complicated by loss of power.A total of 168 cases of intestinal failure complicated by dynamic were grouped to severe acute pancreatitis.168 cases of severe acute pancreatitis were treated with early fluid resuscitation and the promotion of early gastrointestinal motility. Results：166 cases were cured and 2 patients died in 168 cases of severe acute pancreatitis. Conclusion：The classification method for assessing the severity of acute pancreatitis with a merger of the intestine lost power is simple and practical.It should be emphasized on early fluid resuscitation and to promote recovery of gastrointestinal motility in treatment of severe acute pancreatitis,and can significantly improve the prognosis.