论文部分内容阅读
目的探讨用结肠镜减压及肠道灌洗在急性重症胰腺炎治疗中的有效性和安全性。方法回顾性分析51例急性重症胰腺炎患者中,9例因结肠受累出现严重腹胀,行结肠镜结肠减压及灌洗的临床效果和结肠镜检查所见。结果结肠黏膜广泛充血水肿9例,黏膜糜烂5例;结肠清洁灌洗后,腹压增高明显缓解,第3天后肠鸣音恢复正常7例;结肠镜操作过程安全,无并发症发生。结论急性重症胰腺炎患者应用结肠镜行肠道灌洗及减压,效果确切,操作安全,并能改善患者的感染中毒症状。
Objective To investigate the effectiveness and safety of colonoscopic decompression and intestinal lavage in the treatment of acute severe pancreatitis. Methods A retrospective analysis of 51 patients with acute severe pancreatitis, 9 cases of colon involvement due to severe abdominal distension, colonic colon decompression and lavage clinical results and colonoscopy seen. Results The colonic mucosa was extensively hyperemic and edematous in 9 cases and mucosal erosions in 5 cases. The colonic lavage significantly relieved the increase of abdominal pressure and the bowel sounds returned to normal in the 3rd day in 7 cases. The operation of colonoscopy was safe and no complication occurred. Conclusion The application of colonoscopy in patients with acute severe pancreatitis underwent intestinal lavage and decompression with definite effect, safe operation and improved symptoms of poisoning.