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如何避免重症急性胰腺炎及严重胰腺外伤的治疗失误

焦华波 涂玉亮 杜俊东 朱自满 梁耀杰 蔡守旺

临床误诊误治Issue(2):1-5,5.
临床误诊误治Issue(2):1-5,5.DOI:10.3969/j.issn.1002-3429.2015.02.001

如何避免重症急性胰腺炎及严重胰腺外伤的治疗失误

Mistreatment of Severe Acute Pancreatitis and Severe Pancreas Trauma

焦华波 1涂玉亮 1杜俊东 1朱自满 1梁耀杰 1蔡守旺2

作者信息

  • 1. 100048 北京,解放军总医院第一附属医院肝胆外科
  • 2. 100853 北京,解放军总医院肝胆外科
  • 折叠

摘要

Abstract

Severe acute pancreatitis ( SAP) is a dangerous and acute condition of abdomen, with a high rate of com-plications and high mortality and accounts for 10% to 20% of acute pancreatitis. Pancreatic injury is also difficult to diagnose and treat, accompanying multiple severe complications and the mortality rate is high. Both of them are prone to complicated pancreatic fistula, retroperitoneal necrosis and infections, bleeding, and digestive tract fistula, etc. The first response to the treatment of the disease is accurately assessing the patient's diagnosis and condition, selecting the appropriate treatment method and opportunity of surgical intervention. The first choice of surgical procedure is minimally invasive drainage and keeping the drainage smooth. Attaching great importance to enteral nutrition, maintaining the body's own regulatory function and immunity, and at the same time, minimizing the use of antimicrobial drugs are essential for successful treatment.

关键词

胰腺炎/胰腺/创伤和损伤/治疗失误

Key words

Pancreatitis/Pancrea/Wound and injury/Therapeutic error

分类

医药卫生

引用本文复制引用

焦华波,涂玉亮,杜俊东,朱自满,梁耀杰,蔡守旺..如何避免重症急性胰腺炎及严重胰腺外伤的治疗失误[J].临床误诊误治,2015,(2):1-5,5.

临床误诊误治

OACSTPCD

1002-3429

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