重症急性胰腺炎合并腹腔出血的早期诊断及处理方式

Early diagnosis and treatment for severe acute pancreatitis complicated with intraperitoneal bleeding

腹腔出血是重症急性胰腺炎(severe acute pancreatitis,SAP)的严重并发症之一,发生率约为10%,处理极为困难,是SAP后期导致死亡的重要危险因素。SAP并发腹腔出血的处理应本着预防为主的原则,一旦发生,经导管动脉栓塞是最及时和有效的措施。控制胰周感染,适时进行坏死组织清除并充分引流是防止再出血的关键。

Intraperitoneal bleeding is one of the most serious complications of severe acute pancreatitis （SAP） withthe morbidity rate of about 10%. The intraperitoneal bleeding is difficult to treat and it has the high mortality rate. Prevention of the intraperitoneal bleeding is the most important principle to the treatment of SAP. Transcatheter arterial embolism （TAE） is the most effective method for its emergency treatment. Effective control of the peripancreatic infection and operation are necessary if TAE is failed or bleeding occurs after TAE.