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多学科团队成功救治的一例重症急性胰腺炎患者:病例报告

A patient with severe acute pancreatitis who was successfully rescued by multiple disciplinary teams: a case report.

作者信息

Zheng Linhui, Deng Jun, Long Xinhua, Zeng Yuanlin

机构信息

Emergency Trauma Center, The First Affiliated Hospital of Nanchang University, Nanchang, China.

出版信息

J Int Med Res. 2019 Nov;47(11):5831-5838. doi: 10.1177/0300060519874156. Epub 2019 Sep 23.

Abstract

Severe acute pancreatitis (SAP) is a type of acute abdominal disease. SAP has a high incidence, rapid progression, many complications, high mortality rate (as high as 30%–50%), and is difficult to treat, accounting for approximately 5% to 10% cases of acute pancreatitis. We report diagnosis and treatment of a case of SAP, including a combination of the relevant guidelines and our experience. The patient, who was a 42-year-old woman, was admitted to our hospital after suffering from abdominal pain in the upper abdomen for 1 day. The results of a computed tomography scan in the upper abdomen showed changes in the pancreas accompanied by acute fluid accumulation. The blood amylase level was 1150 U/L. The patient was treated at our Gastroenterology Department for 5.5 months, and received 22 blood transfusions (including red blood cell suspension, plasma, cryoprecipitate, and platelets), four surgical operations, three angiographic interventions, and two times of embolization for hemostasis. We successfully rescued this patient with SAP using minimally invasive, staged, multidisciplinary, and diversified treatment modalities.

摘要

重症急性胰腺炎(SAP)是一种急性腹部疾病。SAP发病率高、进展迅速、并发症多、死亡率高(高达30% - 50%)且治疗困难,约占急性胰腺炎病例的5%至10%。我们报告一例SAP的诊断和治疗,包括结合相关指南及我们的经验。该患者为一名42岁女性,上腹部疼痛1天后入住我院。上腹部计算机断层扫描结果显示胰腺有改变并伴有急性液体积聚。血淀粉酶水平为1150 U/L。该患者在我院消化内科治疗5.5个月,接受了22次输血(包括红细胞悬液、血浆、冷沉淀和血小板)、4次手术、3次血管造影介入治疗以及2次止血栓塞治疗。我们采用微创、分期、多学科和多样化的治疗方式成功救治了这名SAP患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6163/6862874/61f14eba5f55/10.1177_0300060519874156-fig1.jpg

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