| 急性胰腺炎外科治疗的历史变迁及其综合策略 |
| |
| 引用本文： | 王春友,陶京. 急性胰腺炎外科治疗的历史变迁及其综合策略[J]. 中华普外科手术学杂志(电子版), 2011, 5(1): 7-12. DOI: 10.3877/cma.j.issn.1674-3946.2011.05.002 |
| |
| 作者姓名： | 王春友 陶京 |
| |
| 作者单位： | 华中科技大学同济医学院附属协和医院胰腺外科中心,武汉,430022 |
| |
| 摘 要： | 重症急性胰腺炎（SAP）的治疗历史上曾经历了多次在其早期倾向于保守抑或外科手术之间的钟摆式徘徊阶段。而每一个阶段发生的一些重要事件均反映了对SAP认识和治疗模式的改变以及由此带来的疗效的突破。回顾SAP诊治的历史,每一次认识和观点的变革、技术的进步以及疗效的改善,都是在实践、探索、认识和总结经验的基础上逐步实现的。国内,经过几代学者的艰苦探索和经验总结,由上世纪80年代前的SAP早期手术,到90年代提出具有我国特色的＂个体化方案＂,逐步形成到目前较为完善的外科综合治疗体系,SAP的总体病死率也由80年代前超过40%降至近年来的10%～20%。因此,有必要在此回顾一下SAP外科治疗的历史变迁,探讨进入新世纪以来SAP综合治疗策略。
|
| 关 键 词： | 胰腺炎,急性坏死性 临床方案 治疗结果 历史 |
Severe acute pancreatitis:History of surgical treatment and its comprehensive strategy |
| |
| WANG Chun-you,TAO Jing. Severe acute pancreatitis:History of surgical treatment and its comprehensive strategy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Version, 2011, 5(1): 7-12. DOI: 10.3877/cma.j.issn.1674-3946.2011.05.002 |
| |
| Authors: | WANG Chun-you TAO Jing |
| |
| Affiliation: | WANG Chun-you,TAO Jing. The Pancreas Surgery Center,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,1277 Jiefang Avenue,Wuhan 430022,China |
| |
| Abstract: | The early treatment of severe acute pancreatitis(SAP) has gone through the wandering stage during which conservative treatment or surgical intervention remained controversial.Important events in every stage reflect the changes of recognition and the therapeutic principles of SAP.In China,through generations' painstaking work,a comprehensive surgical system has been established.The total mortality of SAP declined from over 40% before the 1980s to 10%-20% in recent years.Therefore,it is necessary to retrospec... |
| |
| Keywords: | Pancreatitis acute necrotizing Clinical protocols Treatment outcome History |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
