中西医结合治疗重症急性胰腺炎32例（Treatment of 32 cases of severe acute pancreatitis with combination of traditional Chinese medicine and Western Medicine）.docVIP

中西医结合治疗重症急性胰腺炎32例（Treatment of 32 cases of severe acute pancreatitis with combination of traditional Chinese medicine and Western Medicine） Treatment of 32 cases of severe acute pancreatitis with combination of traditional Chinese medicine and Western Medicine Update Date: 12-20 Abstract: Objective: To investigate the clinical efficacy of integrated traditional Chinese and Western medicine in the treatment of severe acute pancreatitis. Methods: 32 cases of the patients in the hospital within 48 h after the onset of the disease, in addition to conventional nonsurgical therapy (in non surgical treatment based on surgical treatment of 7 cases), all patients were treated by Retention Enema with Dachengqi decoction or tube injection therapy. The therapeutic effect was evaluated according to the Ranson scoring standard, and the fatality rate and total effective rate were recorded. Results: 19 cases were cured, 10 cases were improved, 3 cases were dead, the total effective rate was 90.6%, the fatality rate was 9.4%, lower than the average mortality rate reported in the literature (15% ~ 20%). Conclusion: the combination of traditional Chinese medicine and Western medicine treatment of severe acute pancreatitis has reliable curative effect, can effectively reduce the fatality rate, reduce or avoid postoperative and certification, and worthy of clinical promotion. Key words: severe acute pancreatitis; Dachengqi Decoction; integrated traditional Chinese and Western Medicine Severe acute pancreatitis (severe, acute, pancreatitis, SAP) is an acute, serious, rapid progress, and many certificates, high mortality rate of common acute abdomen. Is a traditional Chinese medicine, Bi heartache and Jiexiong, Jue heartache category, by improper diet, eiofsf, or poor emotional catharsis liver failure, liver injury, liver and spleen stomach Hengni make splenism and dereliction of duty, conduction of Fu Qi induced by heat accumulation in the pathogenic. In our hospital from October 1998 to