Combined treatment of severe acute pancreatitis in ICU

HE Faming; et al

doi:10.13406/j.cnki.cyxb.2005.05.034

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Combined treatment of severe acute pancreatitis in ICU

更新时间：2024-01-17

- Combined treatment of severe acute pancreatitis in ICU
- Journal of Chongqing Medical University Issue 5, (2005)
- 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：10.13406/j.cnki.cyxb.2005.05.034
  CLC： R657.51
- Published：2005，
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[1]何发明,黄纪坚.急性重症胰腺炎在ICU中的综合治疗[J].重庆医科大学学报,2005(05):115-117.

HE Faming, et al. Combined treatment of severe acute pancreatitis in ICU. [J]. Journal of Chongqing Medical University (5).(2005)
[1]何发明,黄纪坚.急性重症胰腺炎在ICU中的综合治疗[J].重庆医科大学学报,2005(05):115-117. DOI： 10.13406/j.cnki.cyxb.2005.05.034.

HE Faming, et al. Combined treatment of severe acute pancreatitis in ICU. [J]. Journal of Chongqing Medical University (5).(2005) DOI： 10.13406/j.cnki.cyxb.2005.05.034.

摘要

目的:探讨急性重症胰腺炎在ICU中的综合治疗效果及其意义。方法:对1996年1月

004年6月我院中心ICU收治的96例急性重症胰腺炎进行回顾性分析。结果:Ⅰ组给予常规治疗

死亡14例

死亡率31.8%（14/44）。Ⅱ组在常规治疗基础上均行血液净化（CRRT）

其中5例病人行两次血液净化;26例病人行急诊床旁ERCP、EST及ENBD术;32例给予人工呼吸机辅助通气。治愈46例

死亡6例

死亡率11.5%（6/52）。结论:在ICU综合治疗技术的应用

提高了急性重症胰腺炎的抢救成功率。

Abstract

Objective:To evaluate the effect and the significance of combined treatment for severe acute pancreatitis in ICU.Methods:96 cases of severe acute pancreatitis treated in ICU of the hospital where the authors worked from Jan.1996 to Jun.2004 were analyzed retrospectively.Results:GroupⅠwere treated with routine methods.14 patients died and the mortality was 31.8%(14/44).Group Ⅱwere treated with routine methods combined with continuous renal replacement therapy(CRRT).5 patients were treated with CRRT twice.26 patients were treated with emergent endoscopic retrograde cholangiopancreatography(ERCP)

endoscopic sphincterotomy(EST) and endoscopic naso-bile drainage(ENBD).32 patients were treated with the mechanical ventilation.46 patients were cured and 6 patients died. The mortality was 11.5%(6/52).Conclusion:The combined treatment in ICU can increase the curative effect of the severe acute pancreatitis.

关键词

急性重症胰腺炎ICU综合治疗

Keywords

Severe acute pancreatitisICUCombined treatment

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