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目的探讨急性重症胰腺炎(SAP)的治疗方法和疗效。方法对我院82例重症急性胰腺炎的临床治疗资料进行回顾性分析,根据入院时间及治疗方法不同分为观察组和对照组。结果观察组临床症状(腹痛腹胀、恶心呕吐)缓解、血尿淀粉酶、肠道通气及排便、腹膜刺激征缓解等恢复正常的时间均明显低于对照组(P<0.05);在并发症发生率、中转手术率、病死率等方面,两组比较差异有统计学意义(P<0.05)。结论急性重症胰腺炎非手术治疗疗效明显,需严密观察及掌握适应证。
Objective To investigate the treatment and efficacy of acute severe pancreatitis (SAP). Methods The clinical data of 82 cases of severe acute pancreatitis in our hospital were retrospectively analyzed. According to the different time of admission and treatment, the patients were divided into observation group and control group. Results The clinical symptoms (abdominal pain, abdominal distension, nausea and vomiting) in the observation group were relieved, and the time to normalization of hemodialysis amylase, intestinal ventilation and defecation and peritoneal irritation relief were significantly lower than those in the control group (P <0.05) , Transit surgery rate, mortality and other aspects, the difference between the two groups was statistically significant (P <0.05). Conclusion Non-surgical treatment of acute severe pancreatitis has obvious curative effect. It is necessary to observe and master the indications closely.