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目的:总结探讨中西医结合治疗急性胰腺炎的方法。方法:回顾性分析我院消化内科2010年1月~2012年1月65例急性胰腺炎患者的临床资料,65例均采取胃肠减压、支持对症、抑酸、抑制胰腺分泌、抗感染等治疗,并结合中药汤剂内服、皮硝外敷等治疗。结果:62例治愈,3例死亡。其中56例水肿型胰腺炎患者均治愈,9例重症胰腺炎患者5例痊愈,1例形成假性囊肿经穿刺引流后基本痊愈,2例死亡,1例转外科手术后多器官衰竭死亡。结论:除少部分引起严重并发症的急性胰腺炎患者需外科手术治疗外,绝大多数患者通过中西医结合内科保守治疗均可取得良好的疗效。
Objective: To summarize and discuss the method of combining traditional Chinese and western medicine in the treatment of acute pancreatitis. Methods: The clinical data of 65 patients with acute pancreatitis from January 2010 to January 2012 in our hospital were retrospectively analyzed. All 65 patients took gastrointestinal decompression, symptomatic support, acid suppression, inhibition of pancreatic secretion and anti-infection Treatment, combined with traditional Chinese medicine decoction orally, Pi Nitra and other external treatment. Results: 62 cases were cured and 3 died. Among them, 56 cases of edematous pancreatitis were cured, 5 cases of 9 cases of severe pancreatitis were cured, 1 case of pseudocyst was basically recovered after puncture and drainage, 2 died and 1 case died of multiple organ failure after surgery. Conclusion: In addition to the small number of patients with acute pancreatitis caused by serious complications require surgical treatment, the vast majority of patients with traditional Chinese and Western medicine by conservative treatment can achieve good results.