摘要
目的：观察急性重型胰腺炎器官功能不全的发生、发展规律，探索中西医结合方法在保护器官功能、减少并发症、降低病死率的价值。方法：在重症监护条件下，多指标、前瞻性地观测了１４５例急性重型胰腺炎病程规律，使用早期通里攻下法、活血化瘀法的治疗效果。结果：急性重型胰腺炎的病理过程主要包括初期（急性反应期），进展期（感染期）和恢复期。早期通里攻下对器官功能不全有明确的治疗作用，尤其对呼吸功能不全。有些患者可不经进展期直接进入恢复期，从而提高了治愈率。结论：器官功能不全是重型胰腺炎死亡的最重要原因，早期通里攻下法对器官保护及减少死亡率有肯定疗效。
Objective:To summarize the developing regularity of organic dysfunction in acute severe pancreatitis(ASP),to define the therapeutic effect of integrated traditional Chinese and western medicine,and to explore mechanism of the integrated treatment.Methods:The therapeutic effect of 145 ASP patients treated with integrated medicine was prospectively studied by multiple observing indexes in ICU.Results:The pathophysiologic process in the course of ASP could be divided into early(acute reactive)stage,progress(infection)stage and recovery stage.There would be obviously good therapeutic effect in organic dysfunction in ASP if Tong Li Gong Xia(purgative method)would have been used in the early stage.Conclusion:Dysfunction of important organs of the body was the most important cause of death in ASP.The therapeutic effect of integra ted traditional Chinese and western medicine was satisfactory and spreading of the integrated method of treament should be worth while.
出处
《中国中西医结合外科杂志》
CAS
1999年第3期129-132,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
急性
重型
胰腺炎
中西医结合治疗
acute severe pancreatitis,organic dysfunction,Tong Li Gong Xia
