摘要
目的探讨以手术为主的综合疗法治疗胆源性重症胰腺炎的可行性.方法回顾性分析2000年1月～2003年12月用手术及ERCP、区域动脉灌注、中医中药等综合方法治疗胆源性重症胰腺炎72例的临床资料.结果手术死亡8例,发生并发症10例(14%),其中胰腺假性囊肿3例急性呼吸窘迫综合征(ARDS) 2例,急性肾功能衰竭2例多器官功能不全综合征(MODS) 2例,腹腔脓肿1例.结论强调个体化原则,以手术为主的综合疗法治疗胆源性重症胰腺炎,可减少并发症,降低死亡率.
Objective To probe the feasibility of comprehensive treatment that mainly depends on operation for severe biliogenic pancreatitis.Method The clinical data of 72 cases of severe biliogenic pancreatitis undergoing comprehensive treatment from January 2000 to December 2003 were retrospectively analysed,including operation,ERCP,regional arterial infusion and traditional Chinese herbs.Results 8 cases died after operation,10 cases(14%) occurred complications,3 of which were pancreatic pseudocyst,2 were ARDS,2 were acute renal failure,2 were MODS and one was abdominal abscess.Conclusions Emphasizing individuaization principle,comprehensive treatment that mainly depends on operation for severe biliogenic pancreatitis can reduce complications and mortality.
出处
《现代诊断与治疗》
CAS
2005年第3期134-135,共2页
Modern Diagnosis and Treatment
