岭南现代临床外科2016，Vol.16Issue(4)：402-406,5.DOI:10.3969/j.issn.1009-976X.2016.04.007
保留导管区域灌注在治疗重症脂源性胰腺炎中的应用
Continuous regional intra-artery perfusion in the treatment of severe lipid-induced acute pancreatitis
郑宇 1李志伟 1金舒 2李琼 3王元喜 1骆明建 1柯绍标 1张清4
作者信息
- 1. 523080 广东东莞 东莞康华医院 肝胆胰外科
- 2. 523080 广东东莞 东莞康华医院 重症监护室
- 3. 523080 广东东莞 东莞康华医院 介入导管室
- 4. 4510405 广州 广州中医药大学第二临床医学院
- 折叠
摘要
Abstract
Objective To investigate the effect of continuous regional artery perfusion (CRAI) on treating acute severe lipid-induced pancreatitis. Methods Forty-three patients with severe lipid-induced pancreatitis patients admitted to our hospital from January 2013 to May 2016 were assigned to two groups, CRAI group (n=23) and control group (n=20). The patients of CRAI group received conventional treatment combined with conventional treatment and controls were performed the conventional treatment protocol alone. The levels of white blood cell count, amylase, blood sugar, blood calcium were collected in two groups and compared between two groups. The abdominal pain relief time, serum amylase recovery time, the hospitalization stay and expenses, peripancreatic infection incidence of pancreatic pseudocyst were compared between two groups. Results In CRAI group, the levels of serum amylase, urinary amylase, blood glucose on the sixth day, the first ten days of recovery were faster back to normal than that in conventional group, so did the blood calcium recovery time. Abdominal pain relief time, hospitalization stay, incidence of infection, pancreatic pseudocyst, pancreatic drainage in CRAI group were decreased than in normal group. Two cases were dead in control group and there were no death in CRAI group. Conclusion In the present study, CRAI was demonstrated a good efficacy in the treatment of severe acute pancreatitis, selected as an alternative treatment plan in combination with treatment protocol.关键词
胰腺炎/动脉内灌注/脂源性/介入治疗Key words
Acute pancreatitis/Intraartery infusion/Lipid-induced/Interventional therapy分类
医药卫生引用本文复制引用
郑宇,李志伟,金舒,李琼,王元喜,骆明建,柯绍标,张清..保留导管区域灌注在治疗重症脂源性胰腺炎中的应用[J].岭南现代临床外科,2016,16(4):402-406,5.
