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我院1981年至1984年用α-受体阻滞剂治疗急性胰腺炎42例,取得较为满意疗效。其中男14例、女28例.水肿型40例,出血型2例.40例急性胰腺炎均根据血、尿淀粉酶和B 超确诊。2例出血性坏死性胰腺炎主要根据明显腹膜刺激症、休克、血性腹水、肠麻痹、腹水淀粉酶、低血钙、高血糖等确诊.治疗方法1.酚苄明:按1～2mg/kg 静滴或静推;2.酚妥拉明:按0.3～0.5mg/分钟静滴;3.妥拉苏林:25mg/次,4～6小时肌注一次,以上任选一种,疗程3～7天,平均4天,部分病例剂量(?)增加60%病人禁食24～48小时
Our hospital from 1981 to 1984 with α-blockers in the treatment of 42 cases of acute pancreatitis, and achieved more satisfactory results. Including 14 males and 28 females.Edema in 40 cases, 2 cases of hemorrhagic.40 cases of acute pancreatitis were diagnosed according to blood, urine amylase and B ultrasound. 2 cases of hemorrhagic necrotizing pancreatitis are mainly based on obvious peritoneal irritation, shock, bloody ascites, intestinal paralysis, ascites amylase, hypocalcemia, hyperglycemia, etc. Treatment 1. Phenoxybenzamine: 1 ~ 2mg / kg Intravenous infusion or static push; 2. Phentolamine: 0.3 ~ 0.5mg / minute intravenous infusion; 3. Torase Sulin: 25mg / time, 4 to 6 hours intramuscular injection, ~ 7 days, an average of 4 days, some cases of dose (?) Increased by 60% of patients fasting 24 to 48 hours