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目的探讨重症急性胰腺炎的诊断、治疗方法和疗效。方法回顾性分析2006年9月—2008年10月的40例重症急性胰腺炎病例,对治疗方案与治疗效果进行评价,为制定完善的诊疗方案提供参考。结果全部患者均使用禁食胃肠减压、早期使用抗生素、生长抑素(14肽)、抑肽酶和全肠外营养等治疗,36例痊愈出院,4例因合并冠心病、糖尿病等导致多器官功能障碍而死亡。结论早期应用抗生素、生长抑素(14肽)、抑肽酶和全肠外营养等治疗在重症急性胰腺炎及其并发症治疗中具有理想的治疗效果。
Objective To investigate the diagnosis, treatment and efficacy of severe acute pancreatitis. Methods A retrospective analysis of 40 cases of severe acute pancreatitis from September 2006 to October 2008 was carried out to evaluate the treatment and treatment effects and provide a reference for the development of a complete diagnosis and treatment plan. Results All patients underwent fasting gastrointestinal decompression, early use of antibiotics, somatostatin (14 peptides), aprotinin and total parenteral nutrition treatment, 36 patients were discharged and 4 patients were complicated by coronary heart disease and diabetes Multiple organ dysfunction and death. Conclusion The early application of antibiotics, somatostatin (14 peptides), aprotinin and total parenteral nutrition therapy in the treatment of severe acute pancreatitis and its complications have an ideal therapeutic effect.