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目的:观察中西医结合综合治疗重症急性胆源性胰腺炎(SABP)的效果。方法:回顾性分析四川大学华西医院2004年1月至2007年8月收治的85例SABP患者在给予禁食、胃肠减压、补液、预防及治疗感染、维持内环境、营养支持、抑制胃肠和胰液的分泌治疗的基础上给予中药柴芩承气汤经口入或保留灌肠导泻,观察这些患者的治疗效果。结果:85例SABP患者经过中西医结合内科保守治疗后58名痊愈,14例患者症状缓解出院。5例患者死亡,8例患者治疗无效,无效率为15.3%,死亡率为5.9%。结论:中西医结合方法治疗SABP患者可明显提高治疗效果及降低死亡率。
Objective: To observe the effect of integrated traditional Chinese and western medicine in the treatment of severe acute pancreatitis (SABP). Methods: A retrospective analysis of 85 patients with SABP admitted to West China Hospital of Sichuan University from January 2004 to August 2007 were given fasting, gastrointestinal decompression, rehydration, prevention and treatment of infection, maintenance of internal environment, nutritional support, gastric suppression Intestinal and pancreatic secretions on the basis of the treatment given to Chaiqin Chengqi soup by mouth or retention enema catharsis, observe the therapeutic effect of these patients. Results: In the 85 cases of SABP patients, 58 cases were cured after the conservative treatment of traditional Chinese and western medicine, and 14 cases were relieved of symptoms. Five patients died, eight patients were ineffective, with an inefficiency of 15.3% and a mortality rate of 5.9%. Conclusion: The combination of TCM and Western medicine treatment of SABP patients can significantly improve the treatment effect and reduce mortality.