Medicine combined treatment of 40 cases of severe acute pancreatitis.docVIP

 PAGE \* MERGEFORMAT 9 Medicine combined treatment of 40 cases of severe acute pancreatitis [Keywords:] severe acute pancreatitis Severe acute pancreatitis (SAP) was induced by a variety of factors, multiple organ involvement of the disease, accounting for the entire acute pancreatitis (AP) 10% ~ 20%. Its condition complicated, serious and dangerous, rapid progress, due to the lack of effective specific treatment, the prognosis is poor, more than 50% fatality rate [1], from 2003 to 2005 in our hospital treated 42 cases of SAP patients, after a comprehensive medical treatment, to obtain a more satisfactory outcome, significantly reducing mortality, are reported as follows. 1 Data and methods 1.1 General Information March 2003 ~ December 2005, I admitted to hospital Section 232 cases of patients with acute pancreatitis, diagnosis, SAP 42 cases, male 22 cases and 20 female, aged 31 to 74 years old, with an average 45.2 years of age. All SAP patients were consistent with the diagnosis of pancreatic surgery in 1998 of the Seventh National Symposium on the development of standardized diagnosis and treatment of severe acute pancreatitis. 1.2 Clinical manifestations, complications 1.2.1 Predisposing Factors Drinking 17 cases (40.5%), eat too much / fatty meal in 12 cases (28.6%), cholelithiasis in 8 cases (19.0%), retrograde pancreatic cholangiography in 2 cases (4.8%), other 3 cases (7.1%). 1.2.2 Clinical manifestations Abdominal pain 42 cases (100%), nausea and vomiting 36 cases (85.6%), fever (T ≥ 38.5 ℃ ) 18 cases (54%), jaundice in 15 cases (35.7%), shock and 5 cases (11.9%), subcutaneous ecchymosis plaques in 2 cases (4.8%), abdominal mass in 9 cases (21.4%). 1.2.3 assistant examination Laboratory tests: blood amylase increased in 27 cases (64.0%), WBCamp;gt; 16.0 * 109 / L 12 patients (28.3%), blood glucoseamp;gt; 11.1 mmol / L 33 cases (78.4%), lactate dehydrogenaseamp;gt; 350 u / L 13 Li (30.3%), ASTamp;gt; 250 u / L 1 cases (3.0%), serum calcium