重症急性胰腺炎并发症的防治研究

Treatment and prevention for complication of severe acute pancreatitis

目的 :探讨重症急性胰腺炎 (SAP)主要并发症的防治对策。方法 :对 3 4例SAP患者进行回顾性分析 ,总结主要并发症的发病机制和防治方法。结果 :3 4例SAP中各类并发症 72例次 ,平均 2 12次 ,主要为休克、成人呼吸窘迫综合征 (ARDS)、多器官功能障碍综合征 (MODS)、腹腔脓肿和胰瘘、胃肠瘘等。非手术组治愈率为 70 6% ,手术组治愈率 11 8% ,总治愈率为 82 4 %。结论 :SAP并发症多 ,死亡率高 ,应重视全身各脏器功能监测 ,根据具体情况采取相应的个体化治疗措施 ,掌握正确的手术指征。

Objective:To investigate the methods for the treatment and prevention of the complication of severe acute pancreatitis(SAP) Methods:Form Jan 1991 to Dec 1997,34 patients with SAP have been treated in our hospital The data from these cases has been collected for retrolpective study to investigate the mechanism,treatment and prevention of the complication of SAP Results:The complications occurred 72 times in 34 patients with 2 21 times per case The severe complications included shock,adult respiratory distress(ARDS),multi-organ distress syndrome (MODS),abdominal abscess,pancreatic and gastrointestinal fistula The recovery rate was 82 4% Conclusion:The incience of the complication is high with high mortality,which shoule be treated as a systemic disease Monitor and support should be supply to prevent the occurrence of the complication