重症急性胰腺炎合并腹腔出血和胰周感染
Chinese Journal of Digestion（2018）
Abstract
重症急性胰腺炎(severe acute pancreatitis ,SAP)起病凶险 ,并发症多 ,病死率高.SAP起病初期是全身炎症反应综合征(systemic inflammatory response syndrome ,SIRS)和多器官功能障碍综合征(multiple organ dysfunction syndrome , M ODS )的好发阶段 ,恢复期会面临假性囊肿形成、胰腺周围感染、胰周出血、胰瘘、胰源性门静脉高压等局部并发症.SAP整个救治过程涉及内科、外科、重症医学科、肾内科等多学科的协作诊治 ,在微创介入时还需要影像介入科的协作.现回顾分析1例SAP合并腹腔出血和胰周感染的病例 ,探讨其多学科协作的诊治情况.
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