重症急性胰腺炎腹膜透析的护理.pdfVIP

岭南现代临床外科2008生 旦箜 鲞星!塑 望髓 丛 ! ! ： ： ： ：! 75 重症急性胰腺炎腹膜透析的护理 钟丽君1 吴祖光·刘宏涛 吴灵芝 1．梅州市人民医院普外二科(514031)； 2．梅州市人民医院神经内科(514031) 【摘要】 目的 探讨腹膜透析治疗重症急性胰腺炎的治疗方法和护理措施。方法 总结20例重症急性 胰腺炎腹膜透析的护理经验。结果 本组20例治愈17例，治愈率为85％。其中2例并发胰腺囊肿瘤，1例发 生腹透管堵塞。3例患者因多器官功能功能障碍综合征而死亡。。结论 早期腹膜透析治疗可改善急性重症胰 腺炎的预后。在治疗过程中，同时配合精心护理可提高治愈率、减少并发症和降低死亡率。 【关键词】重症急性胰腺炎；腹膜透析；护理 中图分类号：R473．6 文献标识码：A 文章编号：1009-976X(2008)O1—0075-02 Nursing care of peritoneal dialysis for treating severe acute pancreatitis ZHONG Li juni，WU Zu an ．LIU Hong taol，WU Li zhi2 j．Department of General Surgery and2 Department of Neurology；The Peoples Hospital ofMei Zhol2 514031 【Abstract】 Objective To explore the therapeutic ways and nursing countermeasures of peritoneal dialysis in treatment of severe acute pancreatitis． Methods The nursing experience of peritoneal dialysis in treatment of 20 patients with severe acute pancreatitis was sammorized retrospectively． Results Among the 20 cases．17 cases were cured and the cure rate was 85％． complications were found in 3 cases after peritoneal dialysis，including 2 cases pancreatic cyst and 1 case obstruction of peritoneal dialysis tube． 36 cases died from multiple organ dysfunction syndrome (MODS)．Conclusion Peritoneal dialysis may improve the prognosis severe acute pancreatitis．In the therapeutic course，an excellent nursing care can contribute to improve cure rate and reduce complication and mortality． 【Key words】 Severe acute pancreatitis； Peritoneal dialysis；Nursing care 重症急性胰腺炎是一种发症多、病死率较高的全身性 内收集血、尿及腹腔积液标本，检查淀粉酶均有不同程度 多器官损害性疾病。近年来研究表明：预防和治疗全身炎 升高，CT和B检查均发现有胰腺呈肿大、坏死，胰周或腹 性反应是治疗重症急性胰腺炎的重要措施，关键在于尽快