气肿性胰腺炎的诊断和外科治疗临床分析

Clinical analysis of ciagnosis and treatment of emphysematous pancreatitis

目的加强对气肿性胰腺炎的临床认识,合理实施外科干预,提高治愈率。方法分析2009年7月—2014年7月河南省人民医院收治的8例气肿性胰腺炎的临床资料。结果 8例重症急性胰腺炎患者腹部CT检查提示胰腺及胰周游离气体存在。在营养支持基础上给予积极抗感染治疗,仍有反复发热等感染征象。8例患者均实施胰腺、胰周坏死组织及感染灶清创术并置管冲洗引流,全部治愈出院。结论气肿性胰腺炎在营养支持、抗生素应用以及影像学动态评估的基础上,掌握合理的手术时机实施外科清创引流术,能获得较好的预后。

Objective To strengthen the clinical understanding of emphysematous pancreatitis, performance reasonable surgical intervention, improve the cure rate.Methods A total of 8 cases with emphysematous pancreatitis admitted in our department from July 2009 to July 2014 were enrolled and the clinical data were analyzed retrospectively.Results All patients had the presence of intrapancreatic gas in their computed tomography(CT). Underwent the debridement and drainage of pancreatic abscesss, all patients were cured.Conclusion To achieve a better prognosis, nutritional support, aggressive broad-spectrum antibiotic coverage, radiological evaluation and timely surgical intervention were assets in the management of emphysematous pancreatitis.