[急性坏死性胰腺炎的重复剖腹手术]
[Repeated laparotomy for acute necrotizing pancreatitis].
作者信息
Pirski M I, Gacyk W, Zadrozny D, Draczkowski T, Smietański M
机构信息
I Katedry i Kliniki Chirurgii Akademii Medycznej w Gdańsku.
出版信息
Wiad Lek. 1997;50 Suppl 1 Pt 2:82-5.
In the period of 1984-1996, 569 patients were treated for acute pancreatitis and 37 of them (6.5%) developed infected pancreatic necrosis (IPN). All these patients were submitted to repeated laparotomies according to Bradley's procedure. The IPN was caused by: bile duct stones--in 11 cases, alcohol abuse-14, ERCP-6, trauma-1, in 6 cases the etiology was cryptogenic. The accuracy of imaging tests was: USG-62%, CT-100%. Sepsis was present in all cases, and multiorgan insufficiency-in 25 patients. Hospital mortality was 30% (11 patients). The most frequent reason of death was multiorgan insufficiency. The actuarial survival was 26 patients (70%).
在1984年至1996年期间，569例患者接受了急性胰腺炎治疗，其中37例（6.5%）发生了感染性胰腺坏死（IPN）。所有这些患者均按照布拉德利手术方法接受了多次剖腹手术。IPN的病因如下：胆管结石——11例，酗酒——14例，内镜逆行胰胆管造影（ERCP）——6例，外伤——1例，6例病因不明。影像学检查的准确率为：超声检查（USG）——62%，计算机断层扫描（CT）——100%。所有病例均出现脓毒症，25例出现多器官功能不全。医院死亡率为30%（11例患者）。最常见的死亡原因是多器官功能不全。精算生存率为26例患者（70%）。
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