重型急性胰腺炎并发急性肺损伤的诊治(附23例报告)-东南大学学报医学版

重型急性胰腺炎并发急性肺损伤的诊治(附23例报告)

单位：皖南医学院弋矶山医院急诊外科

分类号：R657.51, R563.8

出版年·卷·期（页码）：2001·20·第三期（177-179）

摘要：

目的:探讨重型急性胰腺炎(SAP)并发急性肺损伤(ALI)的诊治方法.方法:对23例SAP并发ALI患者的资料进行回顾性分析.结果:SAP并发ALI发生率为59%,经机械通气及生长抑素等综合治疗,多器官功能障碍综合征发生率为21.9%,ALI治愈率为91.3%.结论:ALI是SAP早期最常见的并发症,根据预警指标警惕ALI的发生是避免漏误诊的

Objective To study the diagnosis and treatment of acute lung injury(ALI) with severe acute pancreatitis(SAP).Method 23 cases of ALI with SAP were analysed retrospectively.Results 23 of 39 patients with SAP were complicated by ALI,with the rate of 59%.All patients were treated by ventilation and somatostatin during ALI,and 22 patients were cured,with the rate of 91.3%.Conclusion ALI is the most common complication in the early course of SAP.Detecting the predictive marker is the key to diagnosis of ALI,however,early and rational application of ventilation and somatostatin is dominant therapeutic method for ALI with SAP.

参考文献：

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[2] 秦宗和, 刘长文, 周明根. 呼吸末正压通气治疗急性肺损伤的临床研究. 急诊医学2000(1)
[3] 张群华, 倪泉兴, 蔡端. 生长抑素和生长激素联合治疗对急性坏死性胰腺炎转归的影响. 中华肝胆外科杂志1998(5). doi:10.3760/cma.j.issn.1007-8118.1998.05.009

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