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我院1990～1993年收治6例重症急性胰腺炎,均经手术证实。现将外科治疗中的一些认识和体会,报告如下。 1 临床资料本组男2例,女4例,6例均有腹膜炎、发热、腹穿有暗红色血性液,合并休克2例。发病至手术时间:1天2例,3天2倒,4天2例。术式:6例均作胰被膜广泛切开、坏死组织清除、胰床松动引流、腹腔灌洗,三造口4例(其中3例胃造口效果不佳)。手术次数:1次3例(其中2例术后死亡),2次2例,3次1例。再手术的症状和体征:畏寒发热3例,腹部明显压痛3例,用胃镜经引流口检查见胰腺坏死3例。再手术时间:10～14天。术后并发症:上消化道出血2例;多
Our hospital from 1990 to 1993 admitted 6 cases of severe acute pancreatitis, were confirmed by surgery. Surgical treatment now some understanding and experience, the report is as follows. 1 Clinical data The group of 2 males and 4 females, 6 patients had peritonitis, fever, abdominal wear dark red bloody fluid, combined with shock in 2 cases. Incidence to surgery time: 1 day 2 cases, 3 days 2 down, 4 days in 2 cases. Surgery: 6 cases were extensively dissected pancreas, necrotic tissue removal, loose drainage pancreas, abdominal irrigation, three stomas in 4 cases (of which 3 cases of poor gastrostomy). Number of operations: 1 in 3 cases (2 of them died after surgery), 2 in 2 and 1 in 3. Symptoms and signs of reoperation: chills and fever in 3 cases, 3 cases of tenderness in the abdomen, with gastroscopy through the drainage port examination showed pancreatic necrosis in 3 cases. Reoperation time: 10 ~ 14 days. Postoperative complications: upper gastrointestinal bleeding in 2 cases;