急性胰腺炎非手术治疗46例临床观察

Clinical Analysis of 46 Cases of Acute Pancreatitis with Conservative Therapies

目的 :探讨急性胰腺炎 (acutepancreatitis ,AP)非手术治疗的方法。方法 :总结分析本院 1996～ 2 0 0 0年采取改善微循环、促进肠蠕动的恢复及防止细胞钙超负荷的非手术治疗措施。结果 :本组共收治AP 46例 ,其中轻型 40例 ,转化为重症的 3例 ,重症 6例 ,出现全身并发症的 4例 ,局部并发症 3例 ,死亡 1例。结论 :改善微循环 ,促进肠蠕动的恢复及防止细胞钙超负荷有助于阻止AP由轻型向重型发展 ,限制胰腺坏死 。

Objective:It is to discuss the effect of special conservative methods in treating acute pancreatitis(AP).Methods:46 AP patients admitted from 1996 to 2000 were retrospectively analyzed.Special methods aimed at improving the microcirculation and promoting intestine creeping and preventing cell Ca 2+ overload besides routine management were taken.Results:Among 46 AP patients admitted,3 out of 40 patients with mild AP deteriorated into severe AP;4 out of 6 patients with severe AP presented systemic complications;three patients presented local complications and one patient died.Conclusions:Improving pancreatic microcirculation and promoting alvine creepage and preventing pancreatic cell Ca 2+ overload are helpful not only to prevent the conversion of mild pancretitis to severe pancreatitis,but also to prevent progressive pancreatic necrosis.Besides the prognosis of acute pancreatitis could be improved.