多学科协作诊治重症急性胰腺炎的临床探究

The Clinical Research on Diagnosis and Treatment of Severe Acute Pancreatitis by Multidisciplinary Cooperation

目的 探究多学科协作诊治重症急性胰腺炎的临床效果。方法 选取2020年1月—2021年6月经该院确诊的重症急性胰腺炎的50例患者作为研究对象,全部患者均接受多学科协作诊治,观察患者的治疗效果,分析并发症发生情况与病死率。结果 50例重症急性胰腺炎患者中,手术治疗共有15例,其中胆源性重症急性胰腺炎患者的手术率达到57.14%(12/21),非胆源性重症急性胰腺炎患者的手术率为10.34%(3/29);出现并发症患者共有30例,其中,胆源性重症急性胰腺炎并发症发生率为33.33%(7/21),非胆源性重症急性胰腺炎并发症发生率为79.31%(23/29);50例重症急性胰腺炎患者中,共出现3例死亡,病死率达到6.00%(3/50)。结论 在重症急性胰腺炎治疗中,运用多学科协作诊治方法,能够提高治疗效果,减少不良反应的发生,使患者尽早恢复健康。

Objective Explore the clinical effects of multidisciplinary cooperation in the diagnosis and treatment of severe acute pancreatitis. Methods 50 patients with severe acute pancreatitis diagnosed in the hospital from January 2020 to June 2021 were selected as the study objects. All patients received multidisciplinary diagnosis and treatment, and the treatment effect of the patients was observed. Analyzed the occurrence of complications and the probability of death. Results Among the 50 patients with severe acute pancreatitis, 15 were treated with surgery, among them, the probability of surgery in patients with severe acute pancreatitis of biliary origin reached 57.14%(12/21), and the probability of surgery in patients with severe acute pancreatitis of non-biliary origin was 10.34%(3/29);there were 30 patients with complications, among them, the probability of complications of severe acute pancreatitis of biliary origin was 33.33%(7/21), the probability of complications of non-biliary severe acute pancre-atitis was 79.31%(23/29);out of 50 patients with severe acute pancreatitis, 3 deaths occurred, and the probability of death reached 6.00%(3/50). Conclusion In the treatment of severe acute pancreatitis, the use of multidisciplinary collaborative diag-nosis and treatment methods can improve the treatment effect, reduce the occurrence of adverse reactions, and enable the pa-tient to recover as soon as possible.