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糖皮质激素在暴发性胰腺炎治疗中的应用研究
引用本文:刘建明 马利林. 糖皮质激素在暴发性胰腺炎治疗中的应用研究[J]. 中国交通医学杂志, 2004, 18(6): 681-682
作者姓名:刘建明 马利林
作者单位:南通大学附属医院普外科,江苏,226001;南通大学附属医院普外科,江苏,226001
摘    要:目的 :探讨糖皮质激素治疗暴发性胰腺炎 (FAP)的效果。方法 :对 3 6例FAP病人进行回顾性分析 ,将未使用糖皮质激素组与使用糖皮质激素组治疗效果进行比较。结果 :研究组与对照组的SOFA最高评分、肺、心功能衰竭的发生率及病死率分别为 ( 8.12± 3 .69)分和 ( 10 .68± 3 .3 3 )分 ;41.18%和 78.95 % ;41.18%和 73 .68% ;11.77%和47.3 7% (P <0 .0 5 )。结论 :及早、足量使用糖皮质激素治疗FAP效果良好

关 键 词:胰腺炎  激素  综合治疗

The Clinic Investigation of Glucocorticoids in the Treatment of Fulminant Acute Pancreatitis
Liu Jianming,Ma Lilin.. The Clinic Investigation of Glucocorticoids in the Treatment of Fulminant Acute Pancreatitis[J]. Chinese Medical JOurnal of Communications, 2004, 18(6): 681-682
Authors:Liu Jianming  Ma Lilin.
Abstract:Objective:To investigate the effect of glucocorticoids (GC) in fulminant acute pancreatitis (FAP).Methods:The clinical data of 36 patients with FAP treated in our hospital were retrospectively analyzed. Of which, 17 cases were treated with GC and 19 cases treated without GC (control group).Results:In the GC group, the SOFA highest score ,the incidence of respiratory failure, heart failure were lower than those in the control group(8.12±3.69 vs10.68±3.33; 41 18%vs78.95%; 41.18%vs73.68%; respectively),and the mortality rate decreased from 47.37% to 11.77%(P<0 05).Conclusions:The use of large dosage of GC for FAP early has satisfactory effect.
Keywords:Pancreatitis Hormones Combined modality therapy
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