摘要
目的：探讨腹腔开放减压疗法在重症急性胰腺炎中的临床应用.方法：回顾性总结分析2012年1月至2014年7月广西医科大学第一附属医院收治的24例重症急性胰腺炎合并腹腔间隔室综合征患者的临床资料.术中开放腹腔减压,利用暂时性腹腔关闭技术,聚丙烯网片和（或）无菌3L静脉营养输液袋、膀胱冲洗液袋、负压封闭引流关闭系统材料、黎氏引流管等覆盖敞开腹腔,根据患者恢复情况,逐步于术后7～15 d行确定性关腹术.结果：治愈18例,治疗过程中出现肠瘘3例,腹腔出血4例;死亡4例,死因为严重感染和多器官功能衰竭;放弃治疗出院2例.结论：重症急性胰腺炎合并腹腔间隔室综合征采用腹腔开放减压疗法等支持治疗可以有效的降低腹内压.
Objective： To investigate the application of open abdominal therapy in severe acute pancreatitis. Methods： The clinical data of 24 patients who was diagnosed as severe acute pancreatitis and abdominalcompartment syndrome in the first affiliated hospital of Gauangxi Medical University between January 2012 and July 2014 , were analyzed retrospectively. Temporary abdominal closure with polypropy patch, infusion bag, vacuum sealing drainage system were performed after operation of opening abdomen for decompression. According to the recovery of patients, definitive abdominal closure was gradually carried out after 7- 15 days. Results： In 24 patients, 18 patients were cured. Among of the 18 patients, there were 3 patients happened merger intestinal fistula, and 4 patients had abdominal bledding. And 4 patients were die due to serious infection and multiple organ dysfunction syndrome. 2 patients abandoned treatments. Conclusion： It can effectively reduce intrahadominal pressure if patients with severe acute pancreatitis and abdominal compartment syndrome receive the openning abdominal decompression and multiple organ function support treatments and so on.
出处
《广西医科大学学报》
CAS
2015年第3期381-383,共3页
Journal of Guangxi Medical University
基金
国家临床重点专科建设基金资助项目
广西壮族自治区卫生厅自筹课题资助项目(No.z203056)
