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目的探讨急性胰腺炎的诊断与治疗。方法对2004年5月-2008年6月收治的148例急性胰腺炎患者发病的诱因、症状、入院后的血尿淀粉酶?B超以及增强CT等临床资料进行回顾性分析。其中轻型102例,重型46例。结果本文148例患者治愈114例,好转25例,死亡9例,发生并发症23例;非手术治疗126例,手术治疗22例。其中死亡病例的死因都与多脏器功能衰竭以及胰腺感染有关。本文22例手术患者均为重症患者。结论急性胰腺炎的诊断主要依靠临床表现,结合辅助检查进行综合分析。治疗上早期以非手术治疗为主,严密监测病情以及预防并发症;对于有胆道梗阻的重症胆源性胰腺炎以及非手术治疗无效的病例需积极尽早手术处理;总之应根据病例特点,综合各种治疗方法制定合理的个体化治疗方案,从而提高急性胰腺炎的治愈率。
Objective To investigate the diagnosis and treatment of acute pancreatitis. Methods The clinical data of 148 patients with acute pancreatitis who were admitted to our hospital from May 2004 to June 2008 were analyzed retrospectively on the causes and symptoms, the clinical data of hematuria, Among them, 102 were light and 46 were heavy. Results In this paper, 148 cases were cured in 114 cases, 25 cases improved, 9 cases died, complications occurred in 23 cases; non-surgical treatment of 126 cases, 22 cases of surgical treatment. Among them, the death causes were all related to multiple organ failure and pancreas infection. This article 22 cases of patients were critically ill patients. Conclusion The diagnosis of acute pancreatitis depends mainly on the clinical manifestations, combined with the auxiliary examination for a comprehensive analysis. Early treatment of non-surgical treatment based, closely monitor the disease and prevent complications; biliary obstruction in patients with severe biliary pancreatitis and non-surgical treatment of cases ineffective as early as possible surgical treatment; in short, should be based on the characteristics of cases, each A variety of treatment methods to develop a reasonable individualized treatment programs to improve the cure rate of acute pancreatitis.