腹腔置管灌洗治疗重症急性胰腺炎腹腔间隔综合征的疗效观察.docVIP

腹腔置管灌洗治疗重症急性胰腺炎腹腔间隔综合征的疗效观察 　　[摘要] 目的 探讨腹腔置管灌洗治疗重症急性胰腺炎（SAP）并发腹腔间隔室综合征（ACS）的临床疗效。 方法 选取我院2012年1月～2013年5月70例SAP并发ACS患者的资料，根据患者治疗方式分为观察组及对照组，各35例，对照组采用开腹探查引流术治疗，观察组采用腹腔置管灌洗治疗，对两组患者的治疗效果及并发症进行评价。 结果 观察组患者病程短，与对照组患者比较差异有统计学意义（P0.05）。 结论 腹腔置管灌洗治疗SAP并发ACS，能有效阻断炎性介质对组织器官的损害，并迅速降低腹腔内压力，并发症少，是一种有效简单的治疗措施，值得在临床推广。 　　[关键词] 重症胰腺炎；腹腔置管灌洗；腹腔间隔综合征；临床疗效 　　[中图分类号] R656 [文献标识码] A [文章编号] 2095-0616（2013）13-18-02 　　Curative effect observation of abdominal cavity set tube lavage in treatment of abdominal compartment syndrome in severe acute pancreatitis 　　LIU Yuqing ZHANG Lin CHEN Dingguang YANG Dongming 　　Department of General Surgery，Huizhou City Hospital of Traditional Chinese Medicine，Guangdong Province，Huizhou 516001，China 　　[Abstract] Objective To study the curative effect of abdominal cavity set tube lavage in treatment of abdominal compartment syndrome in severe acute pancreatitis. Methods 70 cases of SAP patients complicated with ACS in our hospital from January 2012 to May 2012 were selected and divided into observation group and control group according to the patients treatment methods，35 cases of each group. Control group were given the open probe drainage treatment，observation group abdominal cavity set tube lavage treatment， therapeutic effect and complications of two groups were evaluated. Results Compared with the control group，the observation group had shorter duration，there was statistically significant difference（P0.05）. Conclusion Abdominal cavity set tube lavage in treatment of abdominal compartment syndrome in severe acute pancreatitis can effectively block the damage to the tissues and organs of inflammatory medium， quickly reduce intra-abdominal pressure，with fewer complications， and is an effective and simple treatment method，worth of clinical promotion. 　　[Key words] Severe acute pancreatitis；Abdominal cavity set tube lavage；Abdominal compartment syndrome； Clinical curative effect 　　重症急性胰腺炎（severe acute pancreatitis，SAP）常伴腹内压升高，升高到一定程度，会导致心、肺、肾、胃肠功能