摘要
目的 探讨影响重症急性胰腺炎 (SAP)患者死亡的因素及治疗中的相关问题。方法 观察我院 1 994年 6月至～ 2 0 0 0年 1 2月之间死亡的 2 0例SAP病例 ,其中 8例行手术治疗。结果 SAP患者病死率 2 9% (2 0 / 69) ,直接死亡原因多为呼吸窘迫综合征 (ARDS)、休克、多器官衰竭(MOF)等。肺脏是各脏器中最易受损伤的器官 ,约 70 %的SAP死亡患者合并有ARDS。结论 改善微循环及早期应用激素可有效地降低SAP死亡率。手术与否需根据患者的具体情况而定 ,术后通畅的引流是决定患者手术预后的最关键因素。
Objective To investigate the factors influencing the mortality of severe acute pancreatitis (SAP) and the related problems during the treatment.Methods Twenty dead patients with SAP admitted from June 1994 to Dec. 2000 were studied. Among them, 8 received operation. Results The mortality of SAP patients was 29% (20/69) The death causes included acute respiratory distress syndrome, shock and multiple organic failure, etc. Compared with other organs, lung was liable to be injured. About 70% dead patients were complicated with ARDS. Conclusions Ameliorating microcirculation and large doses of hormone in early stage of treatment are beneficial to treat lung injury following SAP and reduce mortality. Selection of operation relies on patients condition, and the key factor to influence the prognosis is complete drainage.
出处
《腹部外科》
2001年第6期350-351,共2页
Journal of Abdominal Surgery
