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重症急性胰腺炎2例死亡病例的多学科讨论

Published at: 2017年第26卷第3期

刘志勇 1 , 黄耿文 2
1 中南大学湘雅医院重症医学科,湖南 长沙 410008
2 中南大学湘雅医院胰胆外科,湖南 长沙 410008
通讯作者 耿文 黄 Email: 1466471168@qq.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2017.03.013
基金:

摘要

目的:探讨多学科协作模式对于重症急性胰腺炎(SAP)的诊断、治疗的意义。方法:对2例SAP死亡病例进行多学科讨论,复习相关文献,总结2例患者诊断、治疗的经验教训。结果:SAP患者急性期需在ICU进行器官功能的支持治疗,出现感染性坏死时推荐升阶梯方案行微创治疗。结论:多学科综合治疗协作模式可提高SAP的救治水平。


Multidisciplinary discussion on death of two cases of severe acute pancreatitis

Abstract

Objective: To assess the importance of multidisciplinary collaboration mode in diagnosis and treatment of severe acute pancreatitis (SAP). Methods: A multidisciplinary discussion was held for two patients, who died of SAP, the relevant literature was reviewed, and the experiences and lessons from their diagnosis and treatment were summarized. Results: SAP patients should be given organ function support in ICU during the acute stage, and minimally invasive "step-up" approach was recommended for the occurrence of infectious necrosis. Conclusion: Multidisciplinary collaborations can improve the treatment outcomes of SAP.


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引用

引用本文: 志勇 刘, 耿文 黄. 重症急性胰腺炎2例死亡病例的多学科讨论 [J]. 中国普通外科杂志, 2017, 26(3): 352-358.
Cite this article as: LIU Zhiyong, HUANG Gengwen . Multidisciplinary discussion on death of two cases of severe acute pancreatitis [J]. Chin J Gen Surg, 2017, 26(3): 352-358.