Clinical evaluation on early surgery for patients with severe acute pancreatitis

ZHANG Mingman; et al

doi:10.13406/j.cnki.cyxb.2003.06.043

您当前的位置：

首页 >

文章列表页 >

Clinical evaluation on early surgery for patients with severe acute pancreatitis

更新时间：2024-01-17

- Clinical evaluation on early surgery for patients with severe acute pancreatitis
- Journal of Chongqing Medical University Issue 6, Pages: 817-819(2003)
- 作者机构：
  
  1. 重庆医科大学第二临床学院普外科
  2. 重庆医科大学第二临床学院普外科,重庆,400010
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.06.043
  CLC： R657.5
- Published：2003，
扫描看全文
[1]张明满,谭忠宜,余永康,高根五.重症急性胰腺炎早期手术治疗的临床评价[J].重庆医科大学学报,2003(06):817-819.

ZHANG Mingman, et al. Clinical evaluation on early surgery for patients with severe acute pancreatitis. [J]. Journal of Chongqing Medical University (6):817-819(2003)
[1]张明满,谭忠宜,余永康,高根五.重症急性胰腺炎早期手术治疗的临床评价[J].重庆医科大学学报,2003(06):817-819. DOI： 10.13406/j.cnki.cyxb.2003.06.043.

ZHANG Mingman, et al. Clinical evaluation on early surgery for patients with severe acute pancreatitis. [J]. Journal of Chongqing Medical University (6):817-819(2003) DOI： 10.13406/j.cnki.cyxb.2003.06.043.

摘要

目的 :评价重症急性胰腺炎（SAP）早期手术的治疗效果。方法 :回顾性分析 14 7例重症急性胰腺炎（SAP）的治疗情况

其中 38例伴有单个或多个重要脏器功能障碍（SAP -Ⅱ ）。将早期手术治疗的SAP -Ⅱ 2 3例与早期非手术治疗的SAP -Ⅱ 15例在病死率及并发症发生率等方面进行对比分析。结果 :早期手术组中病死率和并发症发生率分别为 30 .4 3% （7/ 2 3）和 34.78% （8/ 2 3）

早期非手术组中病死率和并发症发生率分别为 6 6 .6 7% （10 / 15 ）和 4 6 .6 7% （7/ 15 ）

两组比较早期手术组的病死率明显低于早期非手术组（P <0 .0 5 ）

而并发症发生率差别不大。结论 :早期手术对一些严重的重症急性胰腺炎（SAP -Ⅱ ）患者是必需的。在SAP早期保守治疗期间出现 1个或多个重要脏器功能障碍时应进行手术治疗以降低病死率。

Abstract

Objective:To evaluate the curative effects of early surgery for patients with severe acute pancreatitis (SAP).Methods:147 SAP patients were analyzed retrospectively.38 out of 147 patients with SAP presented single or multiple organ dysfuction (SAP-Ⅱ) in early stage of SAP.Among them 23 patients underwent early operation

and they were studied and compared with 15 patients treated non-surgically in early stage of SAP.Results:The mortality in the early operation group was 30.43%(7/23)

compared with 66.67%(10/15) of those not receiving operation in early stage.Statistic analysis showed that there was significant difference between them.Conclusion:Early operation is necessary for some severe cases.In early stage of SAP surgery should be performed when patients present single or multiple organ dysfunction under routine conservative management in order to decrease the mortality of SAP.

关键词

胰腺炎休克外科手术

Keywords

Pancreatitisshocksurgical operation

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Risk factors for poor wound healing in patients undergoing posterior thoracolumbar tuberculosis surgery: A single-center retrospective observational cohort study

THE TRANSFERABLE AND IMMUNOLOGICAL STUDIES ON SHOCK TOXIN

Abdmninal compartment syndrome complicating with severe cutepancreatitis

Influencing factors for postoperative prognosis of elderly patients with femoral intertrochanteric fracture in Xinjiang，China

Treatment strategies for brain hernia combined with hemorrhagic shock following severe traumatic brain injury

Related Author

Xiong Tuotuo

Ou Yunsheng

Gong Xuling

et al

吴崇荣

刘银君

郑明祺

CAI Jianquan

Related Institution

Department of Orthopedics，The First Affiliated Hospital of Chongqing Medical University

Department of Pharmacology

Rongxian Hospital

Department of Microscope Repairing，the First Affiliated Hospital of Xinjiang Medical University

Department of General Medicine，Guangyuan First People’s Hospital

⁰