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目的 :探讨中西医结合非手术疗法治疗重症急性胰腺炎的临床疗效与价值。方法 :(1)内科常规治疗及重症监测 ;(2)一经确诊立即静注奥曲肽100μg,以后持续静脉滴注25μg/小时 ,连用5～7天 ;(3)中医中药治疗 :气血败乱期用增液承气汤 ,热结阳明期用大陷胸汤合大柴胡汤方。结果 :本组32例治愈30例 ,无效2例 ,住院时间13～22天。结论 :中西医结合非手术疗法治疗重症急性胰腺炎是一种安全、高效的治疗方法。
Objective: To explore the clinical efficacy and value of integrated traditional Chinese and western medicine in non-surgical treatment of severe acute pancreatitis. Methods: (1) conventional medical treatment and intensive monitoring; (2) once diagnosed immediately after intravenous injection of octreotide 100μg, continuous intravenous infusion of 25μg / hour, once every 5 to 7 days; (3) Chinese medicine treatment: qi and blood disorders With increasing Cheng Cheng soup, hot knot Yang Ming big chest soup with a large Chai Hu Tang side. Results: The group of 32 patients were cured in 30 cases, 2 cases ineffective, hospital stay of 13 to 22 days. Conclusion: The combination of traditional Chinese and western medicine in non-surgical treatment of severe acute pancreatitis is a safe and efficient treatment.