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自1993年4月～1994年8月,我们应用前列腺素E_1(中国白求恩医科大学制药厂生产)治疗急性水肿型胰腺炎30例,并与传统治疗方法进行对照,发现前列腺素E_1治疗效果明显优于传统方法,现报告如下。 1 材料与方法 1.1 一般资料 1993年4月～1994年8月我们共收治急性水肿型胰腺炎患者58例,将此58例患者随机分为治疗组30例,对照组28例。治疗组:男14例,女16例,年龄为18岁～48岁,平均32岁。对照组:男14例,女14例,年龄为18岁～50岁,平均年龄33岁。两组患者入院时均查血象、肝功、肾功、血生化(包括血钙)、血糖及心电图、肝胆胰B超等实验室及特殊检查,治疗组及对照组各有6例患者做胰腺CT检查:诊断急性水肿型胰腺炎。入院时治疗组血清淀粉酶为600U～3900U(Somogyi法),对照组为590U～4000U,58例患者均有不同程度的右上腹痛及恶心呕吐等症状,均符合急性水肿型腺胰炎的临床诊断标准。两组患者各有5例B超发
From April 1993 to August 1994, we applied prostaglandin E_1 (produced by China Bethune Medical University Pharmaceutical Factory) to treat 30 cases of acute edematous pancreatitis and compared with the traditional treatment methods and found that the prostaglandin E_1 treatment effect is obvious In the traditional method, the report is as follows. 1 Materials and Methods 1.1 General Information April 1993 ~ August 1994 we treated a total of 58 patients with acute edematous pancreatitis, the 58 patients were randomly divided into treatment group 30 cases, control group 28 cases. Treatment group: 14 males and 16 females, aged 18 years to 48 years, mean 32 years old. Control group: 14 males and 14 females, aged 18 years to 50 years, mean age 33 years. Blood pressure, liver function, renal function, blood biochemistry (including blood calcium), blood glucose and electrocardiogram, hepatobiliary and pancreatic B ultrasound laboratory and special examination, the treatment group and the control group each have 6 cases of pancreas CT examination: diagnosis of acute edematous pancreatitis. Serum amylase was 600U ~ 3900U (Somogyi method) and control group was 590U ~ 4000U on admission. The 58 patients had different degrees of right upper quadrant pain and nausea and vomiting, which were in line with the clinical diagnosis of acute edematous glandular pancreatitis standard. Two patients each had 5 cases of B-over