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目的探讨如何采用综合措施治疗重症胰腺炎,以期减少并发症,降低病死率。方法对2002年6月至2008年12月诊治的46例重症胰腺炎患者的临床资料进行系统性回顾分析。结果经胰腺休息疗法、静脉营养支持疗法、扩容、改善微循环、合理应用抗生素、对抗炎性细胞因子、内境疗法及规范化、简单化、微创手术疗法等综合治疗,46例重症胰腺炎患者全部治愈,平均住院时间12.6d。无1例死亡及遗留长期并发症。结论综合措施治疗重症胰腺炎效果满意,可有效降低死亡率。
Objective To explore how to adopt comprehensive measures to treat severe pancreatitis in order to reduce complications and reduce mortality. Methods The clinical data of 46 patients with severe acute pancreatitis who were diagnosed and treated from June 2002 to December 2008 were retrospectively analyzed. Results Forty-six patients with severe pancreatitis were treated with pancreas rest therapy, intravenous nutrition support therapy, dilatation, microcirculation, rational use of antibiotics, anti-inflammatory cytokines, internal therapy and standardization, simplification and minimally invasive surgical treatment. All patients were cured, the average length of stay 12.6d. No deaths and long-term complications were found. Conclusion Comprehensive treatment of severe pancreatitis with satisfactory results, can effectively reduce mortality.