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目的通过回顾治疗策略积累治疗SAP的临床经验。方法回顾20例重症急性胰腺炎(SAP)患者的治疗经过。结果CT分级D和E级SAP患者共20例,全部患者均出现腹痛、腹膜炎;均出现麻痹性肠梗阻。15例在发病后12h内接受治疗,平均住院天数14.6d;5例患者在发病24h后接受治疗,平均住院天数21.6d。所有患者均应用生大黄。结论及时就诊,及时获得正确的诊断与治疗是本组患者全部存活的重要因素;要重视肠道清除;对SAP的治疗可引入预防性治疗的观点。
Objective To review the treatment strategy to accumulate clinical experience in the treatment of SAP. Methods The treatment of 20 patients with severe acute pancreatitis (SAP) was reviewed. Results There were 20 patients with CT grade D and E SAP, all patients had abdominal pain and peritonitis. Paralytic ileus occurred. Fifteen patients were treated within 12 hours after onset, with an average length of stay of 14.6 days. Five patients were treated after onset of infection for 24 hours, with an average length of stay of 21.6 days. Rhubarb was applied to all patients. Conclusion timely treatment, and timely access to correct diagnosis and treatment of all patients in this group is an important factor in all survival; should pay attention to intestinal clearance; the treatment of SAP can be introduced prophylactic treatment point of view.