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目的:讨论重症急性胰腺炎的发病机制和微创介入治疗措施。方法:分析重症急性胰腺炎103例和微创介入治疗26例的临床资料。结果:重症急性胰腺炎103例:临床治愈89例(其中微创介入治疗26例中25例治愈,2例手术治愈),死亡14例。结论:微创介入治疗可以快速达到缓解因腹腔积液引起的腹内高压及引流腹腔含毒素积液的目的,延缓并阻止病情的发展及恶化,降低了并发症的发生率及死亡率。
Objective: To discuss the pathogenesis of severe acute pancreatitis and minimally invasive interventional therapy. Methods: 103 cases of severe acute pancreatitis and minimally invasive interventional treatment of 26 cases of clinical data. Results: 103 cases of severe acute pancreatitis: 89 cases were clinically cured (of which 25 cases were cured in 26 cases and 2 cases were cured by minimally invasive intervention), and 14 cases died. Conclusion: The minimally invasive interventional treatment can quickly achieve the purpose of alleviating intra-abdominal high pressure caused by ascites and drainage of toxin containing fluid in the peritoneal cavity to delay and prevent the progression and deterioration of the disease and reduce the incidence of complications and mortality.