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我院自1983～1997年共收治重症胰腺炎64例,以中西医结合组(简称甲组)与西药组(简称乙组)各32例进行随机比较治疗,其结果证明中西医结合组优于西药组.现报道如下.1 一般资料甲组32例,男12例,女20例;年龄24～68岁;平均于发病后32小时由急诊收入院,其中胆源性16例,酒精性8例,诱因不明8例,均经B超证实.乙组32例,男12例,女20例;年龄23～69岁.平均于发病后31小时由急诊收入院.其中胆源性16例,酒精性9例,诱因不明7例,均经B超证实.两组主要症状、体征相似,皆有腹痛腹胀,发热呕吐,中度腹肌紧张伴反跳痛,肠鸣音明显减弱或消失,血、尿淀粉酶升高,X线腹透或腹部平片提示肠腔积气或肠梗阻.两组各有11例经腹穿抽出灰黄色混浊腹水或血性腹水,白细胞(+),白细胞计数4.5×10~9/L～19×10~9/L,中性>0.85,腹水淀粉酶1648～4088单位(苏),Rivata试验阳性,故具有可比性.
In our hospital from 1983 to 1997 were treated a total of 64 cases of severe pancreatitis, the Integrative Medicine Group (referred to as Group A) and Western medicine group (referred to as Group B) 32 cases were randomly compared to treatment, the results show that Integrative Medicine group is better than Western medicine group are reported as follows.1 General information A group of 32 patients, 12 males and 20 females; aged 24 to 68 years; an average of 32 hours after the onset of emergency from the hospital, of which 16 cases of gallbladder, alcohol 8 Cases, unexplained 8 cases, were confirmed by B. Group B 32 cases, 12 males and 20 females; aged 23 to 69. The average incidence of emergency in the hospital after 31 hours of which the gallbladder in 16 cases, Alcohol 9 cases, unexplained 7 cases, confirmed by B ultrasound.The two groups of the main symptoms and signs are similar, all have abdominal pain, abdominal distension, fever vomiting, moderate abdominal tension with rebound tenderness, bowel sounds significantly weakened or disappeared, Blood, urine amylase increased, X-ray or abdominal plain film showed intestinal gas or intestinal obstruction.Each group had 11 cases of abdominal gray or turbid ascites or bloody ascites, leukocyte (+), white blood cell count 4.5 × 10 ~ 9 / L ~ 19 × 10 ~ 9 / L, neutral> 0.85, aspartate amylase 1648 ~ 4088 units (Su), Rivata test is positive, it is comparable.