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目的观察中西医结合治疗急性胰腺炎49例的临床价值。方法根据临床确诊的急性胰腺炎病例,通过胃肠减压、抑酸、抑酶、解痉、补液、纠正酸碱平衡、抗感染等西医治疗,辅以中医辨证施治。结果患者46例疗效显著,通气恢复快,1例因腹腔室高压合并ARDS,转入ICU行呼吸机辅助通气治愈。2例因合并胆总管结石,行手术治疗。1例治愈后随访形成胰腺假性囊肿。结论中西医结合治疗急性胰腺炎能降低并发症及死亡率,疗效明显,有重要的临床价值。
Objective To observe the clinical value of combining traditional Chinese and western medicine in the treatment of 49 cases of acute pancreatitis. Methods According to the clinically diagnosed cases of acute pancreatitis, the patients were treated with Western medicine such as decompression, acid suppression, aprotinin, antispasmodic, rehydration, acid-base balance and anti-infective. Results 46 cases of patients with significant effect, rapid recovery of ventilation, 1 case of abdominal pressure due to ARDS, transferred to ICU ventilator-assisted ventilation cure. 2 cases of choledocholithiasis, surgical treatment. One case was followed up to form pancreatic pseudocyst. Conclusion Integrative treatment of acute pancreatitis can reduce complications and mortality, obvious curative effect, has important clinical value.