摘要
本文报道了１１５例急性重症胰腺炎（ＡＳＰ）患者并发症的防治经验。本组病例中共发生并发症３８５例次，平均每例３．３次，其中以肺肾损害、循环衰竭、水电解质和酸碱平衡紊乱为最常见；心肌损害、消化道出血、腹腔内脓肿等也不少见，而且往往造成严重后果。分析２６例患者的死亡原因，在入院的中后期，除ＭＯＦ外，腹腔内脓肿、胰周脓肿、腹腔内血管溃破大出血等腹腔内并发症明显增多，其死亡率分别高达６４．３％、７５％和８３．３％。本文对ＡＳＰ的诊断，腹腔内并发症防治的进展进行了讨论。
Abstract The experience of prevention and treatment of complications in 115 cases of acute severe pancreatitis patients(ASP) was reported. There were 385 complications in total among the patients and mean 3.3 complications in each case. The most common complications were as follow: pulmonary and kidney injuries, failure of circulation,disturbance of water electrolytes and acid-base balance. The complications such as myocardial injuries, gastroenterologic tract bleeding and intraperitoneal abscess,etc, were also very common and often resulted in bed effects. According to the analyses of the causes of 26 death patients, the intraperitoneal complications such as intraperitoneal abscesses, peri-pancreatic abscess, severe bleedlng due to intraperitoneal vessel rupture besides MOF were obviously increased in the middle and later time after their hospitalization, their their mortality was as high as 64. 3%, 75% and 83. 3%.The recent prog resses about the diagnosis of ASP, prevention and treatment of intraperitoneal complications in ASP patientsare discussed.
出处
《普外临床》
CSCD
1994年第5期295-297,共3页
