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重急性症胰腺炎合并多脏器损伤34例临床分析
引用本文:叶浩波.重急性症胰腺炎合并多脏器损伤34例临床分析[J].现代预防医学,2012,39(11):2907-2908.
作者姓名:叶浩波
作者单位:广东省东莞市大朗医院外二科,广东东莞,523770
摘    要:目的探讨急性重症胰腺炎合并多脏器损伤的临床治疗。方法回顾分析34例急性重症胰腺炎合并多脏器损伤患者临床资料,结合文献,就诊疗过程加以总结。结果 34例患者有30例(88.24%)痊愈出院,4例死亡(11.76%)。手术治疗5例,死亡2例;非手术治疗25例,死亡2例;并发症及死亡以多脏器衰竭为主。结论治疗急性重症胰腺炎并发多脏器功能衰竭应采取个体化综合治疗,妥善选择手术时机,能够起到良好治疗效果,提高患者生存率。

关 键 词:急性重症胰腺炎  多脏器功能衰竭  个体化治疗

Clinical analysis of 34 cases of severe acute pancreatitis complicated with multiple organ dysfunction syndromes
YE Hao-bo.Clinical analysis of 34 cases of severe acute pancreatitis complicated with multiple organ dysfunction syndromes[J].Modern Preventive Medicine,2012,39(11):2907-2908.
Authors:YE Hao-bo
Institution:YE Hao-bo. Second Department of Surgery,Dongguan Dalang Hospital,Dongguan,Guangdong 523770,China
Abstract:OBJECTIVE To discuss clinical treatments of SAP complicated with MODS.METHODS Retrospective analysed the clinical data of 34 cases of SAP complicated with MODS,reviewed references,then concluded diagnosis and treatment procedures.RESULTS 88.24% recovered and discharged,11.76% died;surgical treatment of 5 cases,2 deaths;non-surgical treatment of 25 cases,2 deaths;complications and deaths were caused mainly by MODS.CONCLUSION Individualized comprehensive treatment is advised in treatments of SAP complicated with MODS,and operation time is properly selected to improve treatment effects and survival rate in patients with SAP complicated with MODS.
Keywords:Severe acute pancreatitis  Multiple organ dysfunction syndromes  Individualized comprehensive treatment
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