宋英晓.重症急性胰腺炎的救治要点[J].内科急危重症杂志,2025,31(1):26-31
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| DOI：10.11768/nkjwzzzz20250103 |
| 中文关键词: 重症 急性胰腺炎 救治 |
| 英文关键词: |
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| 中文摘要: |
| 摘要 急性胰腺炎是常见的消化系统急症，约20%可进展为重症急性胰腺炎，有较高的病死率。临床上重症急性胰腺炎的救治成功率决定着AP的整体病死率，而SAP的病情复杂多变，救治方式多样。急性期抗炎症反应和脏器功能支持、后期感染性胰腺坏死、腹腔出血、消化道瘘、胰瘘等严重并发症的处理都是SAP救治中的关键环节。 |
| 英文摘要: |
| Abstract Acute pancreatitis (AP) is a common emergency in the digestive system, accounting for over 20% of severe acute pancreatitis (SAP) cases with a high mortality rate. The success rate of treating SAP in clinical practice significantly influences the overall mortality rate associated with acute pancreatitis. Furthermore, SAP is characterized by its complexity and variability, necessitating a diverse range of treatment approaches. The management of acute anti-inflammatory responses and the support of organ function, as well as the treatment of severe complications such as infected pancreatic necrosis (IPN), intra-abdominal hemorrhage, gastrointestinal fistula, and pancreatic fistula in later stages, are all critical components in the management of SAP. |
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