急性胰腺炎并发多脏器损害35例报告

Acute Pancreatitis with Multiple Organs Involvement A Report of 35 Cases

本文对我院1970～1989年35例急性胰腺炎并多脏器损害病例进行了临床分析。35例中出血性胰腺炎占77.14％,水肿性占22.86％。其中心脏、肺脏、肝脏、肾脏、消化道、中枢神经损害率及DIC发生率分别为23/35、22/35、21/35、11/35、10/35、5/35、1/35。死亡率25.71％,死亡率与脏器损害数密切相关。此外,还对抗感染、腹腔灌洗、补充血容量和及时发现、治疗心肺并发症等问题进行讨论。

Thirty—five cases of acute pancreatitis with multiple organs involvement were analysed from 1970 to 1989 in our hospital. Patients with acute hemorrhagic pancreatitis, and patients with acute edematous pancreatitis were 77.14%. and 22.86% respectively. The incidences of heart, lungs, liver, kidneys, alimentary tract and CNS damage and DIC in this series were 23/35、22/35、21/35、11/35、10/35、5/35、1/35、respectively The overall mortality rate was 25.71%. presented a high positive correlation.The problem of treatment such as anti-infective, peritoneal lavage, volume replacement and earlydetection of the cardiac, the lungs complication are disussed.