急性重症胰腺炎38例临床治疗分析

目的:探讨38例急性重症胰腺炎的临床治疗效果。方法:收治重症胰腺炎患者38例,早期使用广谱抗生素,抑制胰腺分泌,积极配合中药治疗,及时给予肠内营养等治疗。结果:38例患者,非手术治疗30例,治愈15例,有效8例,死亡7例;手术治疗8例,治愈4例,有效2例,死亡2例。死亡主要原因是ARDS、MOF。38例患者并发症持续时间:肝功能不全11.4±6.2天、肠麻痹5.32±2.2天,肾衰7.6±4.3天,心衰4.2±3.2天,脑病9.3±5.6天,低蛋白血症17.6±5.6天。结论:非手术治疗重症急性胰腺炎有较好疗效,尤其是早期应用,可提高该病的早期治愈率及有效率。

Objective：To investigate 38 cases of severe acute pancreatitis clinical therapeutic effect. Methods ：2009 January to 2011 June collected in our hospital treatment for severe acute pancreatitis 38 cases clinical data, were analyzed retrospectively, the early use of broad - spectrum antibiotics, inhibition of pancreatic secretion, actively cooperate with the treatment of traditional Chinese medicine, giving the enteral nutrition in time. Results： 38 cases of patients in the treatment of non operation therapy, 30 cases, 15 cases were cured,8 effective cases,7 cases died of operation; 8 patients,4 cases were cured, 2 effective cases, 2 cases of death. The main cause of death is ARDS, MOF. In 38 cases of patients with complications, duration of hepatic insufficiency （ 11.4 ±. 2 ）, intestinal paralysis （ 5.32 ± 2. 2 ）, renal failure（ 7.6 ±4. 3 ） , heart failure （ 4. 2± 3.2 ）, encephalopathy （ 9. 3±5.6 ） , hypoalbuminemia （ 17.6 ±5.6 ）. Conclusion： Non operation treatment for severe acute pancreatitis has good curative effect, espe-cially the early application, can improve the early stages of the disease cure rate and efficiency.