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重症急性胰腺炎(SAP)常因细胞因子变化,胰腺微循环障碍,引起腹内高压和腹腔间隔室综合征(ACS),出现腹腔积液和肠麻痹、肠胀气等症状。腹腔灌洗及负压主动引流可清除胰腺坏死组织,彻底引流有毒物质,有效降低腹腔内压力,是防止腹腔感染和多器官功能衰竭的重要措施。2009年1月-2011年12月,我们对于SAP在个体化治疗基础上附加持续腹腔灌洗引流治疗,效果满意。现分析报告如下。
Severe acute pancreatitis (SAP) often due to changes in cytokines, pancreatic microcirculation, causing intra-abdominal hypertension and abdominal compartment syndrome (ACS), ascites and intestinal paralysis, flatulence and other symptoms. Abdominal lavage and negative pressure active drainage can clear the necrotic tissue of the pancreas and completely drain toxic substances, which can effectively reduce intra-abdominal pressure and is an important measure to prevent abdominal infection and multiple organ failure. From January 2009 to December 2011, we were satisfied with the results of SAP with continuous peritoneal lavage and drainage on the basis of individualized treatment. The analysis report is as follows.