急性胰腺炎的多学科治疗

Multidisciplinary treatment for acute pancreatitis

急性胰腺炎(acute pancreatitis,AP)作为临床常见急腹症,病情急、进展快,近年来病死率有增高趋势,引起临床医师的不断重视。依据临床表现及预后情况分为:轻症急性胰腺炎(mild acute pancreatitis,MAP)、中度重症急性胰腺(moderately severe acute pancreatitis,MSAP)、重症急性胰腺炎(severe acute pancreatitis,SAP)[1]。1845年报道的胰腺脓肿引流是AP外科治疗的开端;19世纪末,随着AP患者外科干预有效性不断地提升,使得手术成为了趋势[2]。这种情况在20世纪20年代出现转折,由于对疾病认识及检验方法的改善,非手术治疗占据主导地位[3]。

Throughout the exploration history of the diagnosis and treatment of acute pancreatitis, with the constant change of the treatment concept and the vigorous development of medical technology, the treatment mode is also innovating and presenting a spiral trend. A new mode of modern diagnosis and treatment, based on evidence-based medicine, individualized treatment plan, progressive and phased intervention concept, and close collaboration between multidisciplinary teams, has gradually taken shape. The new medical system of taking disease as the platform and patient as the center has been truly realized.