中国实用外科杂志2024，Vol.44Issue(5)：506-511,6.DOI:10.19538/j.cjps.issn1005-2208.2024.05.04
重症急性胰腺炎治疗面临的挑战与对策
Difficulties and countermeasures in the management of severe acute pancreatitis
摘要
Abstract
In recent years,with the development of minimally invasive and endoscopic technology,the treatment concept of Severe acute pancreatitis(SAP)is constantly updated.The"step-up approach"has become the mainstream treatment mode of SAP and has significantly improved its cure rate.Although treatment concepts and techniques are increasingly updated,there are still some challenges and controversies in the treatment of SAP,such as the principle of fluid resuscitation,the management of abdominal compartment syndrome(ACS),the timing and mode of surgical intervention for infected pancreatic necrosis(IPN),the advantages and disadvantages of endoscopic and surgical debridement,and the necessity of open debridement.All the above problems need to be validated by further high-quality clinical studies.Multidisciplinary team is crucial,and establishing standardized pancreatic disease centers can benefit more SAP patients.关键词
重症急性胰腺炎/感染性胰腺坏死/外科干预/液体复苏/经皮穿刺置管引流Key words
severe acute pancreatitis/infected pancreatic ne-crosis/surgical intervention/fluid resuscitation/percutaneous catheter drainage分类
医药卫生引用本文复制引用
孙备,张灿..重症急性胰腺炎治疗面临的挑战与对策[J].中国实用外科杂志,2024,44(5):506-511,6.基金项目
国家自然科学基金项目(No.81871974,No.82070658,No.82270665) （No.81871974,No.82070658,No.82270665）
