摘要
本文报告急性出血坏死性胰腺炎30例,内科综合治疗3例,外科手术治疗27例,死亡8例,病死率26.7％。作者认为,合并急性胆囊炎、胆石症,腹腔或胰腺周围并发化脓性感染,腹膜刺激症状和严重的酶性毒血症时,内科综合治疗无效为手术适应证。讨论了手术方式,介绍了坏死组织清除,应用U形双头双套管和多方位双套管引流灌洗的体会。
From 1980 through 1993 30 patients with acute heamorrhagic negrotizing pancretitis(AHNP) were tre ?ated in our department. Of these patients,3 cases received medical therapy,other twenty seven cases under went surgical operation,eight patients died with mortality 26. 7% (8/30). Analysis of this series shown that the indications for surgical operation were following: AHNP with acute cholecystitis and cholelithiasis; complicated by purulent infection around the pancreas or in the peritoneal cavity; with obvious peritoneal irritation or severe toximia from pancreatic enzymes;not responding to medical complex trentment. The operative methods were discussed.
出处
《兰州医学院学报》
1995年第3期147-149,共3页
Journal of Lanzhou Medical College
关键词
胰腺炎
胰腺
外科手术
治疗
pancreas
pancreatitis
surgical operation
