口服大黄煎剂治疗急性重症胰腺炎的临床研究

目的观察口服大黄煎剂对急性重症胰腺炎患者的疗效影响。方法72例急性重症胰腺炎患者随机分为治疗组和对照组：对照组（37例）应用常规治疗；治疗组（35例）在常规治疗基础上，口服大黄煎剂治疗。以WBC、BAMS、UAMS、LPS、IL-6等作为指标，观察两种不同方法治疗后的变化。结果治疗组在72h后，临床疗效和血中各指标水平明显优于对照组（P〈0．01）。结论口服大黄煎剂可明显降低急性重症胰腺炎患者血中WBC、BAMS、UAMS、LPS、IL-6水平，辅助应用大黄治疗急性重症胰腺炎较单纯常规治疗的疗效好。

Clinical Study of Oral Rhubarb decoction on the Patients With Severe Acute Pancreatitis

Objective To approach the diagnosis and clinical value of high frequency color Doppler ultrasound for pedo-intussusception. Methods To analyze the 120 cases pedo-intussusception retrospective,which has been diagnosed by high frequency color Doppler ultrasound and been certified by gaseous enema reduction and operation. Results In the 120 cases pedo-intussusception, 112 cases were detected by low frequency ultrasound,the detection rate was 93.33%. 119 cases were detected by high frequency color Doppler ultrasound, 1 case was missed diagnosis, the detection rate was 99.16%, and 11 eases were prompted to be intestinal necrosis,which certified by operation. Conclusion The detection rate of high frequency color Doppler ultrasound is high for pedo-intussusception. It can prompt that intussusception combine ntestinal necrosis or not and offer evidence for selecting treatment protocols. It is the preferred check method for early diagnosis of pedo-intussusception.