论文部分内容阅读
目的探讨重症急性胰腺炎的临床特点及有效治疗方法,寻求合理的手术时机和术式,以提高重症急性胰腺炎的整体诊治水平。方法回顾性分析保定市第二医院2007年5月—2009年5月期间19例重症急性胰腺炎患者的临床资料,并评价其诊治的临床效果。结果 14例保守治疗,死亡3例,死因为急性呼吸窘迫综合征(ARDS)2例,急性肾功能衰竭(APF)1例;5例手术治疗,死亡2例,分别为多器官功能衰竭综合征(MODS)和感染脓毒血症各1例。总治愈率74%,病死率26%。结论正确地把握重症急性胰腺炎的治疗时机和指征,合理选择治疗方案,适时手术,对于决定重症急性胰腺炎的预后至关重要。
Objective To explore the clinical features and effective treatment of severe acute pancreatitis and to seek a reasonable timing and operation of surgery in order to improve the overall diagnosis and treatment of severe acute pancreatitis. Methods The clinical data of 19 patients with severe acute pancreatitis from May 2007 to May 2009 in the Second Hospital of Baoding City were retrospectively analyzed. The clinical effect of diagnosis and treatment was also evaluated. Results 14 cases were treated conservatively and 3 died. The cause of death was 2 cases of acute respiratory distress syndrome (ARDS) and 1 case of acute renal failure (APF). 5 cases were treated by surgery and 2 died of multiple organ failure syndrome (MODS) and infected sepsis in 1 case. The total cure rate of 74%, case fatality rate of 26%. Conclusions Correct grasp of the timing and indications for treatment of severe acute pancreatitis, rational choice of treatment options, timely surgery, is critical for determining the prognosis of severe acute pancreatitis.