急性胰腺炎的早期治疗

来源 :国外医学(消化系疾病分册) | 被引量 : 0次 | 上传用户:javajava2010
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急性胰腺炎总的治疗原则是“使胰腺休息”。有各种抑制胰腺分泌的治疗方法被采用,但是这些疗法的价值还不确定。本文对轻到中度急性胰腺炎采用口服清亮流质治疗者和常规胃肠减压及静脉输液法治疗者进行比较。被选者有急性胰腺炎的临床特征,其血淀粉酶>416U/L(正常值<300U Phadbas法)。共50位病人,入院12小时内随机分成两组,每组25人。接受输液减压者,置胃管持续吸引,进流质者给予茶、水及果汁。疼痛时两组均肌注止痛剂。结果:两组在腹痛、腹部压痛、血淀粉酶和住院期方面无显著差别。死亡率和一些并发症的发生两组相似。输液减压组死亡2人,一为胰腺脓肿并发弥漫性腹 The general principle of treatment of acute pancreatitis is “to rest the pancreas.” There are a variety of treatments that inhibit pancreatic secretion, but the value of these therapies is uncertain. In this paper, mild to moderate acute pancreatitis were treated with oral liquid and clear fluid therapy and conventional gastrointestinal decompression and intravenous infusion were compared. The candidates had the clinical features of acute pancreatitis with a blood amylase> 416U / L (normal <300U Phadbas method). A total of 50 patients, admitted to hospital within 12 hours were randomly divided into two groups of 25 people. Receiving infusion decompression, stomach tube continued to attract, into the liquid quality to give tea, water and juice. Both groups were given intramuscular painkillers during pain. Results: There was no significant difference between the two groups in abdominal pain, abdominal tenderness, blood amylase and hospitalization. Mortality and some complications occurred in two groups. Infusion decompression group died 2 people, one for pancreatic abscess complicated by diffuse abdomen
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