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乌司他丁对重症急性胰腺炎肺损伤的防治作用
引用本文:张献全,范卫东,虎琼华,赵世桥,钱桂生.乌司他丁对重症急性胰腺炎肺损伤的防治作用[J].中国急救医学,2008,28(12).
作者姓名:张献全  范卫东  虎琼华  赵世桥  钱桂生
作者单位:1. 重庆医科大学附属第二医院中心ICU,400010
2. 解放军第三军医大学新桥医院呼吸研究所,重庆,400037
摘    要:目的 探讨乌司他丁对重症急性胰腺炎(severe acute panereatitis,SAP)急性肺损伤(acute lung injury,ALI)的防治作用.方法 84例SAP患者随机分为乌司他丁治疗组和对照组,每组42例,对照组给予常规治疗,治疗组则在常规治疗基础上加用乌司他丁治疗.分别于治疗后第0、3、7、10、14天分析患者动脉血气,以呼吸频率、血PaO2、氧合指数和肺部X线检查等为观测指标,观察乌司他丁治疗组与对照组之间肺损伤发生率差异以及对肺损伤的疗效.结果 治疗组SAP肺损伤的发生率为39.6%,对照组为65.9%,两组比较差异有统计学意义(P<0.05);乌司他丁对各阶段ALI都有较好的治疗作用(P<0.01).结论 乌司他丁可以显著减少SAP引起的ALI的发生.并能促进SAP的好转,对SAP引起的ALI有预防和治疗作用.

关 键 词:重症急性胰腺炎  乌司他丁  急性肺损伤  急性呼吸窘迫综合征

Preventive and therapeutic effect of ulinastatin on the severe acute pancreatitis patients with acute lung injury
ZHANG Xian-quan,FAN Wei-dong,HU Qiong-hua,et al..Preventive and therapeutic effect of ulinastatin on the severe acute pancreatitis patients with acute lung injury[J].Chinese Journal of Critical Care Medicine,2008,28(12).
Authors:ZHANG Xian-quan  FAN Wei-dong  HU Qiong-hua  
Institution:ZHANG Xian-quan,FAN Wei-dong,HU Qiong-hua,et al. ICU,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China
Abstract:Objective To study the preventive and therapeutic effects of ulinastatin(UST) on the severe acute pancreatitis (SAP) patients with acute lung injury(ALI).Methods 84 patients with SAP were divided into two groups: therapy group and control group.42 patients in control group were treated with the conventional treatment,and another 42 patients in therapy group were treated with the conventional treatments and UST. The difference of the incidence of lung injury and curative effect on lung injury between two gro...
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