期刊文献+

手术治疗重症急性胰腺炎

原文传递
导出
摘要 目的:研究手术治疗重症急性胰腺炎的临床效果。方法选取近年收治的重症急性胰腺炎患者共79例,其中50例为早期手术,另29例为延期手术。统计不同手术时期患者治愈率以及病死率,统计出现的并发症以及各类并发症的发生率。结果早期手术组治愈率为86%,病死率为14%;延期手术组治愈率为93.10%,病死率为6.89%;治疗效果组间比较差异有统计学意义(P <0.05)。并发症方面,患者术后出现的并发症以胰周围脓肿、肾功能衰竭与呼吸衰竭为主,患者多存在多项并发症。结论对重症急性胰腺炎的治疗应根据患者自身情况选择合适的手术时间,从患者病期、病因着手,注重对术后并发症的预防,降低病死率。
作者 徐宏奎
出处 《中国实用医刊》 2016年第10期119-120,共2页 Chinese Journal of Practical Medicine
  • 相关文献

参考文献7

二级参考文献25

  • 1Xiao, Bo,Zhang, Xiao-Ming,Tang, Wei,Zeng, Nan-Lin,Zhai, Zhao-Hua.Magnetic resonance imaging for local complications of acute pancreatitis: A pictorial review[J].World Journal of Gastroenterology,2010,16(22):2735-2742. 被引量:19
  • 2屈振亮,傅强,夏庆.重症急性胰腺炎中西医结合诊治常规(草案)[J].中国中西医结合外科杂志,2007,13(3):232-237. 被引量:109
  • 3Acute Pancreatitis Classification Working Group. Revision of the Atlanta classification of acute pancreatitis 2008 [J/OL].www. pancreasclub.com/resources/AtlantaClassification.pdf.
  • 4Bradley EL, Clements JL, Gonzalez AC. The natural history of pancreatic pseudocysts: a unified concept of management [J]. Am J Surg,1979,137(2):135-141.
  • 5Yeo C J, Bastidas JA, Lynch-Nyhan A, et al. The natural history of pancreatic pseudocysts documented by computed tomography [J]. Surg Gynecol Obstet,1990,170(5):411-417.
  • 6Soliani P, Ziegler S, Franzini C, et al. The size of pancreatic pseudocyst does not influence the outcome of invasive treatments [J]. Dig Liver Dis,2004,36(2):135-140.
  • 7Barthet M, Lamblin G, Gasmi M, et al. Clinical usefulness of a treatment algorithm for pancreatic pseudocysts [J]. Gastrointest Endosc,2008,67(2):245-252.
  • 8Arvanitakis M, Delhaye M, Bali MA, et al. Pancreatic-fluid col- lections: a randomized controlled trial regarding stent removal after endoscopic transmural drainage [J]. Gastrointest Endosc, 2007,65(4):609-619.
  • 9Varadarajulu S, Lopes TL, Wilcox CM, et al. EUS versus surgi- cal cyst-gastrostomy for management of pancreatic pseudocysts [J]. Gastrointest Endosc,2008,68(4):649-655.
  • 10Garg PK, Madan K, Pande GK, et al. Association of extent and infection of pancreatic necrosis with organ failure and death in acute necrotizing pancreatitis [J]. Clin Gastroenterol Hepatol, 2005,3 (2): 159-166.

共引文献35

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部