Clinical Investigation of Severe Acute Pancreatitis Complicated with Infection_West China Medical Journal

Authors：

1Department of Integrated Traditional Chinese and Western Medicine;2 Department of Three of General Surgery, West China Hospital, Sichuan University, Chengdu,Sichuan 610041,China;

Corresponding?author：

Keywords：

重癥急性胰腺炎; 感染; 多臟器功能衰竭

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

摘要:目的:探討重癥急性胰腺炎(SAP)繼發感染的臨床特點。方法:將我院20039~20053收治的SAP140例,按是否感染,分成感染組和對照組,對比分析其臨床資料。結果:感染組病死率高于對照組(P=0023);感染組入院初期,Ranson評分、CT評分、APACHE Ⅱ評分、血糖、ARDS和腸麻痹發生率、感染前手術率及呼吸機輔助呼吸率高于對照組(P lt;005);以G感染胰腺、胰周圍及肺部為主;肺部感染時間為107±25d,胰腺或胰周為176±29d。結論:急性期全身反應輕重及胰腺壞死程度是SAP繼發感染的基礎;臨床有創治療措施是促進因素。

Citation： YANG Xiaonan,ZHAO Long,JIN Tao,et al.. Clinical Investigation of Severe Acute Pancreatitis Complicated with Infection. West China Medical Journal, 2009, 24(5): 1137-1139. doi: Copy

1.	賈林,袁世珍.急性胰腺炎:臨床診治新觀點(世界胃腸病大會2005)[J].胰腺病學,2005,5(4):240.
2.	J TOOULI, M BROOKESMITH, C BASSI, et al. Guidelines for the management of acute pancreatitis[J]. J Gastroenter Hepat,2002,17(suppl):S15S39.
3.	劉續寶,蔣俊明,黃宗文,等.中西醫結合治療重癥急性胰腺炎的臨床研究(附1367例報告)[J].四川大學學報(醫學版),2004,35(2):204208.
4.	PER LEVEAR, WANG X D, VASILE, et al. Alterations intestinal motiliy and microflora in experimental acute pancreatitis[J]. Int J Pancreatology,1996,20:119.
5.	ARMENGOLCARRASCO M, OLLER B, ESCUDERO L E, et al. Specific prognosticfactors for secondary pancreatic infection in severe acute pancreatitis[J]. Dig Surg,1999,16 (2):1255.
6.	NICHOLS, MATTHEW T, RUSS, et al. Pancreatic Imaging: Current and Emerging Technologies[J]. Pancreas, 2006, 33(3): 211220.

1. 賈林,袁世珍.急性胰腺炎:臨床診治新觀點(世界胃腸病大會2005)[J].胰腺病學,2005,5(4):240.
2. J TOOULI, M BROOKESMITH, C BASSI, et al. Guidelines for the management of acute pancreatitis[J]. J Gastroenter Hepat,2002,17(suppl):S15S39.
3. 劉續寶,蔣俊明,黃宗文,等.中西醫結合治療重癥急性胰腺炎的臨床研究(附1367例報告)[J].四川大學學報(醫學版),2004,35(2):204208.
4. PER LEVEAR, WANG X D, VASILE, et al. Alterations intestinal motiliy and microflora in experimental acute pancreatitis[J]. Int J Pancreatology,1996,20:119.
5. ARMENGOLCARRASCO M, OLLER B, ESCUDERO L E, et al. Specific prognosticfactors for secondary pancreatic infection in severe acute pancreatitis[J]. Dig Surg,1999,16 (2):1255.
6. NICHOLS, MATTHEW T, RUSS, et al. Pancreatic Imaging: Current and Emerging Technologies[J]. Pancreas, 2006, 33(3): 211220.

West China Medical Journal

Clinical Investigation of Severe Acute Pancreatitis Complicated with Infection

Abstract Full text Figures/Tables Video References Cited by

Format

Content