摘要
急性胰腺炎(acute pancreatitis,AP)是胰腺的急性炎症状态,可能涉及胰腺周围组织或远隔器官系统。其中,重症急性胰腺炎(severe acute pancreatitis,SAP)是一种病情凶险、并发症多、预后差、病死率较高的急腹症,其总体病死率为20%。SAP患者一旦发生器官衰竭及感染性坏死,病死率则分别提高到30%和32%,且通常在1周内死亡。目前对SAP的治疗临床上强调个性化综合治疗,应首先采用内科保守治疗,并针对不同情况合理选择微创或手术治疗。本文就近年来SAP的临床治疗进展作一概述。
Acute pancreatitis （AP） is an acute inflammation of the pancreas, may be involved in pancreatic tissue a- round or distant organ system. Among them, severe acute panereatitis （SAP） is a serious disease, more complications, poor prognosis and high mortality rate of acute abdomen, the overall mortality rate of patients is 20%. When organ failure and septic necrosis occur, the mortality rates are increased to 30% and 32% , respectively, and the SAP patients usually die within a week. At present, SAP treatment emphasizes the individualized and comprehensive treatment, medicine conservative treatment should be used firstly, according to different situations, minimally invasive or surgical treatment should be chosen reasonably. This paper introduced a brief comprehensive clinical treatment on SAP in recent years.
出处
《胃肠病学和肝病学杂志》
CAS
2017年第5期589-593,共5页
Chinese Journal of Gastroenterology and Hepatology
关键词
重症急性胰腺炎
内科治疗
微创治疗
Severe acute pancreatitis
Medical treatment
Minimally invasive treatment
