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目的:总结重症急性胰腺炎的内科综合治疗经验。方法:回顾分析我院消化内科近年来收治的55例重症急性胰腺炎的内科综合治疗措施:Ⅰ级护理、禁食水、胃肠减压、液体复苏、抑酸、抑制胰腺分泌、抑制胰酶活性、预防感染、营养支持等,并分析治疗结果。结果:55例患者中,痊愈26例,占47.27%;明显好转19例,占34.55%;好转1例,占1.82%;早期中转手术2例,占3.64%;晚期中转手术4例,占7.27%;死亡3例,占5.45%。结论:内科综合治疗能明显改善重症急性胰腺炎的转归,使其病死率保持在较低水平。
Objective: To summarize the experience of comprehensive medical treatment of severe acute pancreatitis. Methods: A retrospective analysis of 55 cases of severe acute pancreatitis treated in our hospital in recent years, comprehensive medical treatment measures: Ⅰ-level care, fasting water, gastrointestinal decompression, fluid resuscitation, acid suppression, inhibition of pancreatic secretion, inhibition of pancreatic enzyme Activity, prevent infection, nutritional support, etc., and analyze the treatment outcome. Results: In 55 patients, 26 cases were cured, accounting for 47.27%; 19 cases were improved significantly, accounting for 34.55%; 1 case was improved, accounting for 1.82%; 2 cases were early transit surgery, accounting for 3.64%; 4 cases were late transit surgery, accounting for 7.27 %; 3 died, accounting for 5.45%. Conclusion: Internal medicine treatment can significantly improve the outcome of severe acute pancreatitis and keep its mortality at a low level.