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目的:总结重症急性胰腺炎(SAP)236例的临床经验。方法:回顾分析SAP 236例临床病例资料。结果:非手术治疗146例,死亡13例(8.9%),死亡主要原因为中毒性休克、严重感染和多器官功能衰竭(M ODS);手术治疗90例,死亡24例(26.7%),死亡主要原因为M ODS、胰腺坏死感染、消化道瘘和腹腔内出血。结论:SAP应首先以加强重症监护和重要功能的保护,尽早改善肠道功能对改善SAP局部症状和体征及保护重要脏器功能有重要意义。
Objective: To summarize the clinical experience of 236 cases of severe acute pancreatitis (SAP). Methods: A retrospective analysis of SAP 236 cases of clinical data. Results: 146 cases were non-surgical treatment and 13 cases died (8.9%). The main causes of death were toxic shock, severe infection and multiple organ failure (M ODS); 90 cases were treated by surgery, 24 cases died (26.7%), The main reason for M ODS, pancreatic necrosis, gastrointestinal fistula and intra-abdominal bleeding. Conclusion: SAP should first strengthen the intensive care and the protection of important functions. Improving intestinal function as soon as possible is of great significance in improving the local symptoms and signs of SAP and protecting the function of vital organs.