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为了提高对儿童重症胰腺炎的诊治水平,对11例经手术证实为小儿重症胰腺炎者进行分析,结果发现1986年以前以单纯腹腔引流为主治疗4例,病死率50%;1986年以后以腹腔灌洗,胰床广泛切开,多管引流等综合措施为主治疗7例,病死率14.3×。早期手术,胰床广泛切开,术后加用腹腔灌洗,彻底引流,营养支持以及及时进行重症监护等综合措施,对改善重症胰腺炎的疗效具有重要作用。
In order to improve the diagnosis and treatment of children with severe pancreatitis, 11 cases of severe pancreatitis confirmed by surgery were analyzed and found that before 1986, the treatment of simple peritoneal drainage in 4 cases, the mortality rate of 50%; 1986 after Abdominal irrigation, extensive drainage of pancreatic bed, multi-tube drainage and other comprehensive measures for the treatment of 7 cases, the fatality rate 14.3 ×. Early surgery, extensive extensive pancreatic incision, postoperative plus intraperitoneal lavage, complete drainage, nutritional support and timely intensive care and other comprehensive measures to improve the efficacy of severe pancreatitis has an important role.