摘要
目的 探讨重症急性胰腺炎病人并发迟发性腹腔室隔综合征的诊断和治疗方法。方法 回顾性分析 3 0 1例重症急性胰腺炎患者 ,5例在感染期发生迟发性腹腔室隔综合征 ,2例早期患者采用非手术治疗 ,3例后期患者一经诊断后 ,即行手术减压治疗。结果 非手术治疗患者 ,均于迟发性腹腔室隔综合征发生后 1～ 2d死亡 ;手术患者 ,均得以存活 ,总体死亡率达 40 %。结论 重症急性胰腺炎病人并发迟发性腹腔室隔综合征具有极高的死亡率 ;
Objective To investigate the diagnosis and therapy methods for severe acute pancreatitis (SAP) complicated with delayed abdominal compartment syndrome (ACS).Methods Five In a retrospective study of 301 cases of SAP,5 cases were subjected to delayed ACS during the period of infection.Two patients were treated by non-operation in the early stage,while the remaining 3 patients undertaken decompression operation.Results Non-operative patients died 1-2 days after delayed ACS,while the operative patients survived,with the total mortality being 40%.Conclusion There is high mortality for SAP patients complicated with delayed ACS.It is of importance to early diagnose and time treat the patients with delayed ACS for survival.
出处
《临床外科杂志》
2004年第3期152-153,共2页
Journal of Clinical Surgery
关键词
重症急性胰腺炎
腹腔室隔综合征
迟发性
诊断
治疗
severe acute pancreatitis
abdominal compartment syndrome,delayed
diagnosis
therapy
