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目的探讨41例急性胰腺炎的临床表现,总结分析急性胰腺炎的诊治经验。方法搜集总结分析了经临床证实的41例急性胰腺炎的临床资料,包括患者的临床表现、病因、诊断、治疗和预后等情况。结果本组急性胰腺炎主要临床表现为急性腹痛,发病原因主要是胆道疾患、酗酒和高脂血症,临床诊断主要依靠血清淀粉酶升高、彩超和CT检查等。治疗采用禁食、胃肠减压、应用抗生素等非手术治疗和超声引导下经皮穿刺腹腔置引流管引流,剖腹手术等手术治疗,取得较理想的临床治疗效果。结论急性胰腺炎是临床较常见的急腹症之一,其病因、病理复杂,临床病程、预后表现差异较大,血清淀粉酶和CT检查是急性胰腺炎早期正确诊断的关键。
Objective To investigate the clinical manifestations of 41 cases of acute pancreatitis, summarize and analyze the experience of diagnosis and treatment of acute pancreatitis. Methods The clinical data of 41 cases of acute pancreatitis clinically confirmed were collected and analyzed. The clinical manifestations, etiology, diagnosis, treatment and prognosis were included. Results The main clinical manifestations of acute pancreatitis in this group were acute abdominal pain. The main causes of the acute pancreatitis were biliary tract diseases, alcoholism and hyperlipidemia. The clinical diagnosis mainly depends on the serum amylase, color Doppler and CT examination. The treatment of fasting, gastrointestinal decompression, the use of antibiotics and other non-surgical treatment and ultrasound-guided percutaneous drainage of the drainage tube set, laparotomy and other surgical treatment, and achieved better clinical outcomes. Conclusions Acute pancreatitis is one of the most common acute abdomen diseases in clinic. The etiology, pathology, clinical course and prognosis are quite different. Serum amylase and CT are the key points in the early diagnosis of acute pancreatitis.