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目的:探讨多学科协作模式对于重症急性胰腺炎(SAP)的诊断、治疗的意义。方法:对2例SAP死亡病例进行多学科讨论,复习相关文献,总结2例患者诊断、治疗的经验教训。结果:SAP患者急性期需在ICU进行器官功能的支持治疗,出现感染性坏死时推荐升阶梯方案行微创治疗。结论:多学科综合治疗协作模式可提高SAP的救治水平。
Objective: To explore the significance of multidisciplinary collaboration in the diagnosis and treatment of severe acute pancreatitis (SAP). Methods: A multidisciplinary study was conducted on two death cases of SAP. The related literatures were reviewed and the experiences and lessons of diagnosis and treatment of two patients were summarized. Results: Patients with SAP should be supported by organ function in acute stage of ICU. Minimally invasive treatment should be recommended in case of infective necrosis. Conclusion: The multidisciplinary and comprehensive treatment cooperation mode can improve the treatment level of SAP.