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Sandostatin treatment of severe acute pancreatitis observed
[Keywords:] severe acute pancreatitis
Our hospital from January 1999 in the traditional medical treatment has been based on the use of continuous intravenous infusion of octreotide treatment of severe acute pancreatitis, can speed up to reduce the clinical symptoms, signs, reduce complications, mortality reduction, observed a certain effect, is reported below.
1 Materials and Methods
1.1 General Information Select January 1999 ~ August 2005 in our hospital of severe acute pancreatitis in 70 cases, including 45 males and 25 females, aged 21 to 65 years, mean age 44.1 years old, randomly divided into treatment 38 cases, on the basis of conventional therapy plus continuous infusion of Sandostatin control group of 32 patients conventional medical treatment. causes are biliary 30 cases, alcoholic in 27 cases, hyperlipidemia in 10 cases, of unknown causes .70 patients were three cases of sudden onset of upper abdominal pain, with nausea, vomiting, upper abdominal tenderness, muscle tension, ascites, positive, urine amylase, ascites was bloody.
1.2 The diagnostic criteria in 70 cases of severe acute pancreatitis pancreatic surgery patients are in line with the Fourth Symposium on the diagnostic criteria adopted by the severe acute pancreatitis: sudden upper abdominal pain, nausea, vomiting, abdominal distension associated with peritoneal irritation, can be excluded from the stomach intestinal perforation and other acute abdomen, and have the following four in two, can be diagnosed with severe acute pancreatitis: serum amylase or a sudden drop to normal but her condition deteriorated. bloody ascites, which increased amylase. difficult Complex shock, expansion does not improve after the shock. B Super, CT examination revealed swelling of the pancreas, uneven quality, pancreas outside infiltration.
Treatment control group by 1.3 to take the routine treatment of condit
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