急性胰腺炎首发72h的处理

Management of Acute Pancreatitis Within 72 Hours of Onset

急性胰腺炎是消化系统常见疾病之一,起病急,如治疗不及时,可在短时间内重症化,重度急性胰腺炎死亡率仍较高。因此,急性胰腺炎早期,特别是首发72h的处理显得尤为重要。本文阐述了急性胰腺炎的诊断标准、严重程度分级、预后影响因素以及病因治疗、液体复苏、营养支持、抗菌药物的使用、器官功能维护等早期处理措施,有助于规范临床医师对急性胰腺炎的早期处理。

Acute pancreatitis is one of the common diseases of digestive system.It is characterized by acute onset and can be severe within a short time if not promptly treated.The mortality of severe acute pancreatitis is still high.Therefore,early management of acute pancreatitis within the first 72 hours is particularly important.In this article,the diagnostic criteria,severity grading,prognostic factors,as well as etiological therapy,fluid resuscitation,nutritional support,antibiotic use,protection against organ failure and other early management measures of acute pancreatitis were described for helping the establishing of guidelines for the early management of acute pancreatitis.