重症急性胰腺炎早期液体复苏治疗体会

目的探讨重症急性胰腺炎早期液体复苏的经验与体会。方法分析32例重症急性胰腺炎患者在早期液体复苏过程；观察复苏时间及治疗过程中出现呼吸衰竭、肾功能不全等并发症情况；对比输入胶体与晶体液的情况。结果全组除死亡2例外，其余（包括经保守治疗失败转手术引流4例）均治愈。结论重症急性胰腺炎急性期液体复苏时及时补充胶体液能减少液体输入量，缩短复苏时间，早期限制性液体输入降低肺损伤等并发症的发生。

Experience in treatment of severe acute pancreatitis with early fluid resuscitation

Objective To discuss the experience of early fluid rehabilitation treatment in severe acute pancreatitis patients during acute phase.Methods There 32 severe acute pancreatitis cases at acute phase and treated with fluid rehabilitation were retrospectively analyzed.Recovery time, resp iratory failure, renal failure and other comp lications in the course of treatment were observed.Results Except two deaths, the others(included four cases treated by surgical drainage after failed in conservative treatment)were...