高压氧治疗重症急性胰腺炎疗效观察一附32例报告

目的：观察高压氧治疗重症急性胰腺炎的效果。方法：我院１９９７年７月－１９９８年６月的３２例住院病人，经Ｂ超，ＣＴ证实为重症急性胰腺炎后，随机分为稿压氧（Ｈｙｐｅｒｂａｉｃ ｏｘｙｇｅｎ，ＨＢＯ）组和对照组。ＨＢＯ组以ＨＢＯ加５－Ｆｕ，抗菌素及基础性支持治疗；对照组以５－Ｆｕ加抗菌素及基础性支持治疗。

Effect of Hyperbaric Oxygen in the Treatment of Severe Acute Pancratitis (32 cases report)

Purpose: To observe the effects of hyperbaric oxygen (HBO) in the treatment of severe a- cute pancreatitis. Methods: 32 patients with severe acute pancreatitis conformed by CT or ultrasonography were divided into two groups: HBO group and control group (gallstore pancreatitis was excluded). Patients in HBO group received HBO treatment plusing 5-fluorouracilum, antibiotics and basic supporting therapy. HBO parameters: Pressure: 0. 2 Mpa; volume: 10 l/min; time: 2 hours each time perday. The patients in control group received 5--fluorouracilum, antibiotics and basic supporting therapy. Results: The time of ab- dominal pain relief, tlle time of blood amylase descending to normal and mortality were obviously lower in HBO group than in control group (P < 0. 01; P < 0.01; P < 0. 01 ). Conclusions: HBO combining basic treatments has a better efficacy and the advant age of lower costs for the patients with severe acute pancre- atitis.