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急性胰腺炎(acute pancreatitis,AP)是消化系统的常见病。它分为急性水肿型胰腺炎和重症急性胰腺炎(severe acute pancreatitis,SAP),后者又称“急性出血坏死型胰腺炎”。 SAP虽仅占AP的20%左右,但病死率可高达40%。如何提高SAP的治愈率是当前SAP研究中的重要课题。目前的研究倾向于以内科治疗为基础的个体化综合治疗,不主张对SAP进行早期手术干预。对于SAP,传统的内科治疗以及近年来出现的血液滤过、内镜治疗等方法发展迅速,营养支持和抗生素使用的观念也在更新。
Acute pancreatitis (AP) is a common disease of the digestive system. It is divided into acute edematous pancreatitis and severe acute pancreatitis (SAP), which is also known as “acute hemorrhagic necrotizing pancreatitis.” Although SAP accounts for only about 20% of AP, but the fatality rate can be as high as 40%. How to improve the cure rate of SAP is an important issue in the current SAP research. The current study tends to individualized comprehensive treatment based on medical treatment, does not advocate early SAP surgical intervention. For SAP, the traditional medical treatment and hemofiltration in recent years, endoscopic treatment methods such as the rapid development of nutritional support and the concept of antibiotics are also updated.