中国实用外科杂志2024，Vol.44Issue(5)：541-544,4.DOI:10.19538/j.cjps.issn1005-2208.2024.05.12
感染性胰腺坏死并发腹腔及消化道出血的诊治
Diagnosis and treatment of infected pancreatic necrosis complicated with abdominal and gastrointestinal hemorrhage
摘要
Abstract
Hemorrhage is the main cause of late death in patients with infected pancreatic necrosis(IPN).In the course of necrotizing pancreatitis(NP),the necrotic area will be confined or spread and expand,both localized encapsulation and continuous spread of necrosis can invade and compress surrounding organs and blood vessels,leading to intra-abdominal or digestive bleeding.Additionally,Coagulation dysfunction of the patients and surgical intervention increase the risk of bleeding.Common types of intra-abdominal hemorrhage include pseudoaneurysm rupture,cyst hemorrhage,etc.while common types of gastrointestinal bleeding include acute gastric mucosal lesions,ulcer bleeding,pancreatic portal hypertensive bleeding and endoscopic stent-related bleeding.Clinicians should take different treatment measures to improve prognosis based on the patient's condition,bleeding site,and type,while also relying on multidisciplinary diagnosis and treatment.Conservative treatment is only suitable for patients with minor bleeding and stable vital signs,while most patients still need timely endoscopic,interventional embolization or surgical intervention.关键词
急性胰腺炎/感染性胰腺坏死/腹腔出血/消化道出血/诊断与治疗Key words
acute pancreatitis/infected pancreatic necrosis/abdominal hemorrhage/gastrointestinal hemorrhage/diagnosis and treatment分类
医药卫生引用本文复制引用
曹锋,卢炯地,李非..感染性胰腺坏死并发腹腔及消化道出血的诊治[J].中国实用外科杂志,2024,44(5):541-544,4.基金项目
首都医学发展科研专项项目(No.2020-1-2012) （No.2020-1-2012）
首都临床诊疗技术研究项目(No.Z201100005520090) （No.Z201100005520090）
北京市医院管理局科研培育项目(No.PX2023030) （No.PX2023030）
北京市自然科学基金项目(No.7242069) （No.7242069）
