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目的探讨急性重症胰腺炎的急诊治疗措施。方法回顾性分析我医院2009年4月至2012年4月接收治疗的46例急性重症胰腺炎患者的急救方法。结果治愈40例,死亡5例。非手术组32例,死亡1例,占3.12%;手术组14例,死亡2例,占14.29%。结论在急性重症胰腺炎患者中,采取抑制胰腺分泌和抑制胰酶活性、早期使用抗生素等的非手术综合治疗方法可以治愈大部分患者,同时掌握手术时机,采用合理的手术方式和个体化的综合治疗措施,可以在很大程度上提高重症急性胰腺炎患者的存活率。
Objective To investigate the emergency treatment of acute severe pancreatitis. Methods A retrospective analysis of 46 patients with acute severe pancreatitis received emergency treatment in our hospital from April 2009 to April 2012 was performed. Results of 40 cases were cured, 5 died. 32 cases were non-operation group, 1 case died, accounting for 3.12%; operation group 14 cases, 2 cases died, accounting for 14.29%. Conclusion In patients with acute severe pancreatitis, the non-surgical treatment of pancreatic secretion and pancreatic enzyme inhibition, early use of antibiotics and other non-surgical treatment can cure most patients, at the same time grasp the timing of surgery, using reasonable surgical methods and individualized comprehensive Treatment can greatly improve the survival rate of patients with severe acute pancreatitis.