Combined treatment of acute severe pancreatitis complicated with ARDS in ICU

HE Faming; et al

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Combined treatment of acute severe pancreatitis complicated with ARDS in ICU

更新时间：2024-01-17

- Combined treatment of acute severe pancreatitis complicated with ARDS in ICU
- Journal of Chongqing Medical University Issue 1, Pages: 129-131(2006)
- 作者机构：
  
  1. 重庆医科大学附属第一医院中心ICU
  2. 重庆医科大学附属第一医院中心ICU,重庆,400016
- 作者简介：
- 基金信息：
- DOI：
  CLC： R657.51;R563.8
- Published：2006，
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[1]何发明,徐昉.急性重症胰腺炎并发ARDS在ICU中的综合治疗[J].重庆医科大学学报,2006(01):129-131.

HE Faming, et al. Combined treatment of acute severe pancreatitis complicated with ARDS in ICU. [J]. Journal of Chongqing Medical University (1):129-131(2006)
[1]何发明,徐昉.急性重症胰腺炎并发ARDS在ICU中的综合治疗[J].重庆医科大学学报,2006(01):129-131. DOI：

HE Faming, et al. Combined treatment of acute severe pancreatitis complicated with ARDS in ICU. [J]. Journal of Chongqing Medical University (1):129-131(2006) DOI：

摘要

目的:探讨急性重症胰腺炎并发ARDS在ICU中的综合治疗效果及其意义。方法:对1996年1月～2005年4月我院中心ICU收治的71例急性重症胰腺炎并发ARDS病例进行回顾性分析。结果:Ⅰ组给予常规治疗基础上行人工呼吸机辅助通气

死亡14例

死亡率48.3%（14/29）。Ⅱ组在常规治疗及人工呼吸机辅助通气基础上均行血液净化（CRRT）

其中7例病人行两次血液净化;22例病人行急诊床旁ERCP、EST及ENBD术;治愈33例

死亡9例

死亡率21.4%（9/42）。结论:在ICU综合治疗技术的应用

提高了急性重症胰腺炎并发ARDS的抢救成功率。

Abstract

Objective: To evaluate the effect and the significance of combined treatment for acute severe pancreatitis complicated with acute respiratory distress syndrome(ARDS) in ICU.Methods: 71 cases of severe acute pancreatitis with ARDS treated in ICU of the hospital where the authors worked from Jan.1996 to Apr.2005 were analyzed retrospectively.Results: GroupⅠwere treated with routine methods and the mechanical ventilation.14 patients died

and the mortality was 48.3%(14/29).Group Ⅱwere treated with routine methods and the mechanical ventilation.All patients were treated with continuous renal replacement therapy(CRRT)

of whom 7 patients were treated with CRRT twice.22 patients were treated with emergent endoscopic retrograde cholangiopancreatography(ERCP)

endoscopic sphincterotomy(EST) and endoscopic naso-bile drainage(ENBD).33 patients were cured and 9 patients died.The mortality was 21.4%(9/42).Conclusion: The combined treatment in ICU can increase the curative effect of the severe acute pancreatitis complicated with ARDS.

关键词

急性重症胰腺炎ARDS综合治疗ICU

Keywords

Severe acute pancreatitisacute respiratory distress syndromeCombined treatmentICU

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Related Institution

Department of Oncology,The Second Affiliated Hospital of Nanchang University

Department of Emergency,College of Clinical Medicine,Chongqing Medical Un iversity

重庆医科大学临床学院急诊科

Department of Respiratory Diseases,the Second Affiliated Hospital,Chongqing Medical University

重庆医科大学生物医学工程系

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