早期床旁小切口腹腔引流用于重症急性胰腺炎治疗的体会

Early bedside mini - incision drainage of the abdominal cavity for severe acute pancreatitis

目的探讨早期床旁小切口腹腔引流用于治疗重症急性胰腺炎的价值。方法回顾性总结2000年1月至2002年4月我院收治的61例重症急性胰腺炎中41例早期进行床旁小切口腹腔引流的治疗体会。结果41例病人经引流及非手术综合治疗后,34例腹胀和肠麻痹得以缓解,受损器官功能逐步恢复正常。结论床旁小切口腹腔引流是治疗有较多腹腔积液的早期重症急性胰腺炎的重要手段之一,它既能有效地缓解腹胀引起的肠麻痹,还可减轻全身炎性反应及炎性介质对重要器官的损害,帮助病人平稳渡过急性反应期。

Objective To study the value of early bedside mini-incision drainage of the abdominal cavity for early severe acute pancreatitis (SAP) . Methods Out of sixty one patients with acute pancreatitis (AP) in our hospital from January of 2000 to April of 2002, forty one cases performed on early bedside mini-incision drainage of the abdominal cavity were analyzed respectively. Results Abdominal distention and paralysis of intestine disappeared and function of damaged organs recovered gradually in 34 out of the 41 patients after drainage and no-operative therapy. Conclusion Bedside mini-incision drainage of the abdominal cavity is one of the important therapeutic methods for early severe acute pancreatitis (SAP) with more abdominal exudates.