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急性出血坏死性胰腺炎的诊断与手术治疗(附14例报告)
引用本文:孙家骥 梁新强. 急性出血坏死性胰腺炎的诊断与手术治疗(附14例报告)[J]. 湛江医学院学报, 1995, 13(2): 111-112
作者姓名:孙家骥 梁新强
作者单位:深圳市罗湖区中医院
摘    要:本文报道14例急性出血坏死性胰腺炎治疗的结果:14例中11例获成功,3例死亡,14例血,尿淀粉酶阳性率为42.5%,加做腹腔液淀粉酶检查其阳性率提高到71.4%。作者强调术前腹穿对诊断的重要性,并重点讨论了Ranson预后指标与术式选择同预后的关系。

关 键 词:出血坏死性 胰腺炎 外科手术 诊断 预后

DIAGNOSIS AND OPERATIVE MANAGEMENT OF ACUTE BLEEDING NECROTIC PANCREATITIS(A report of 14 cases)
Sun Jiaji, Liang Xinqiang. DIAGNOSIS AND OPERATIVE MANAGEMENT OF ACUTE BLEEDING NECROTIC PANCREATITIS(A report of 14 cases)[J]. Journal of Guangdong Medical College, 1995, 13(2): 111-112
Authors:Sun Jiaji   Liang Xinqiang
Abstract:Fourteen patients with acute bleeding necrotic pancreatitis were operated on. The results showed that eleven out of them were successfully treated and other three patients died. The positive rate of urine, blood and peritoneal fluid amylase tests was 28. 9%higher then that of urine and blood amylase test(71.4%vs 42.5%).Importance of preoperative obdominocentesis was stressed. The Ranson's prognostic signs and relation between choice of operative method and prognosis were discussed.
Keywords:acute bleeding necrotic pancreatitis  surgery  operative  diagnosis  prognosis
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