| 早期B超引导穿刺引流治疗急性重症胰腺炎并胰周积液21例临床分析 |
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| 引用本文： | 王方明,李浩,厉鸥.早期B超引导穿刺引流治疗急性重症胰腺炎并胰周积液21例临床分析[J].医学临床研究,2012,29(5):911-913. |
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| 作者姓名： | 王方明 李浩 厉鸥 |
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| 作者单位： | 王方明 (湖南省人民医院肝胆科,湖南,长沙,410005) ； 李浩 (湖南省人民医院肝胆科,湖南,长沙,410005) ； 厉鸥 (湖南省人民医院肝胆科,湖南,长沙,410005) ； |
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| 摘 要： | 目的]探讨早期B超引导穿刺引流治疗重症急性胰腺炎（SAP）并胰周积液的价值.方法]对本科2010年7月至2011年7月期间收治的21例SAP并胰周积液患者采取早期超声引导穿刺置管引流术,观察其疗效.结果]患者平均引流时间和平均住院日分别为7.6 d和32 d.21例患者中2例因引流不畅改开腹手术;19例治愈,其中3例经更换置管后有效引流.结论]对于急性重症胰腺炎合并胰周积液的患者,超声引导穿刺置管引流术是一种重要的早期治疗手段.
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| 关 键 词： | 胰腺炎 急性坏死性/治疗 穿刺术 引流 |
Clinical Analysis of B-ultrasound-guided Early Drainage for the Treatment of 21 Cases of Severe Acute Pancreatitis with Acute Fluid Collection |
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| WANG Fang-ruing,LI Hao,LI Ou.Clinical Analysis of B-ultrasound-guided Early Drainage for the Treatment of 21 Cases of Severe Acute Pancreatitis with Acute Fluid Collection[J].Journal of Clinical Research,2012,29(5):911-913. |
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| Authors: | WANG Fang-ruing LI Hao LI Ou |
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| Institution: | ( Department of Hepatobiliary Surgery, Hunan Provincial People＇s Hospital, Changsha 410005, China ) |
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| Abstract: | Objective]To explore the value of B-ultrasound-guided peritoneal drainage（PD） in the early treatment of severe acute pancreatitis（SAP） with acute fluid collection（AFC）. Methods]A total of 21 SAP patients complicated with AFC admitted to our department from July 2010 to July 2011 underwent early B-ul-trasound-guided PD. The efficacy was observed. Results] The mean drainage and hospital stay time were 7.6 days and 32 days, respectively. Among 21 patients, 2 patients turned to undergo laparotomy, and 19 patients were cured in which 3 patients were given effective drainage after the replacement of the catheter. Conclusion] Ultrasound-guided puncture and drainage is an important method for the early treat-ment of SAP patients with AFC. |
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| Keywords: | Pancreatitis acute neerotizing/TH punctures drainage |
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