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目的 :探索中西医结合治疗重症急性胰腺炎 (Severe Acute Pancreatitis SAP)的方法。方法 :基本支持治疗加川芎嗪注射液 10～ 12 ml(2 ml:40 mg)、复方丹参注射液 2 0～ 30 ml(1m l:1g)、甲氰咪胍注射液 0 .8～ 1.2 g、5 - Fu0 .2 5～ 0 .5 g,静滴 ,每日 1次 ,平均疗程 12天。结果 :30例中 ,治愈 2 8例 ,死亡 2例 ,病死率 6 .6 7% (2 / 30 ) ;死亡原因为休克、ARDS、MOF,平均住院日 18天。随访 2 8例 ,平均随访时间 1.6年 ,无明显后遗症。结论 :本法能提高 SAP的治愈率 ,降低死亡率 ,减少并发症的发生率 ,医疗费用较低 ,使用方便。
Objective: To explore the method of combining traditional Chinese and western medicine in the treatment of severe acute pancreatitis (Severe Acute Pancreatitis SAP). Methods: The basic supportive treatment plus ligustrazine injection 10 ~ 12 ml (2 ml: 40 mg), compound Danshen injection 20 ~ 30 ml (1ml: 1g), cimetidine injection 0.8 ~ 1.2 g , 5 - Fu0 .2 5 ~ 0 .5 g, intravenous infusion, once daily, the average course of 12 days. Results: Among the 30 cases, 28 cases were cured and 2 died. The mortality rate was 6.76% (2/30). The causes of death were shock, ARDS and MOF, and the average length of stay was 18 days. Follow-up 28 cases, the average follow-up time of 1.6 years, no obvious sequelae. Conclusion: This method can improve the cure rate of SAP, reduce mortality, reduce the incidence of complications, lower medical costs, easy to use.