重症急性胰腺炎；死亡_____]_重症急性胰腺炎；死亡

急性胰腺炎272例死亡原因分析及治疗探讨

http://www.100md.com 《中华现代内科学杂志》 2006年第8期

重症急性胰腺炎；死亡,,],重症急性胰腺炎；死亡,1临床资料,2讨论,[参考文献]

     [摘要] 目的分析影响重症急性胰腺炎(SAP)病死率的因素和治疗策略。方法回顾性分析46例SAP死亡病例的临床资料。结果与病死率相关的高危因素为低氧血症、多器官功能衰竭、感染、SIRS和腹腔室隔综合征；FAP患者的病死率明显要高于SAP患者。结论临床上要重视SAP的早期治疗，特别是FAP这一特殊类型。对高危因素的预防和治疗是降低病死率的关键。

    [关键词] 重症急性胰腺炎；死亡

    Clinical analysis of death of 46 cases of severe acute pancreatitis

    GUO Lanqing,LIAO Feng,FANG Zhiqun.

    Care Insurance Center of Qingdao,Qingdao 266002,China

    [Abstract] Objective To investigate the factors influencing the mortality of severe acute pancreatitis (SAP) and the related problems during the treatment.Methods 46 cases of dead patients with SAP admitted from Jan.1990 to Oct.2003 were received,the major factor of death were rewiewed retrospectively，and analyzed a special type：fulminant acute pancreatitis(FAP).Results The mortality of SAP patients is 16.9%(46/272).The high risk factors of death include hypoxaemia,mutiple organ dysfunction syndrome(MODS),infection,systemic inflammatory response syndrome(SIRS) and abdominal compartment syndrome(ACS).The mortality of FAP is higher than SAP.Conclusion The early treatment of SAP,specially FAP should be concerned.The key of reduction the mortality is preventing and treatment of these high risk factors. ......

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