文章摘要

重症急性胰腺炎2例死亡病例的多学科讨论

作者: 1刘志勇, 2黄耿文
1 中南大学湘雅医院重症医学科，湖南 长沙 410008
2 中南大学湘雅医院胰胆外科，湖南 长沙 410008
通讯: 黄耿文 Email: 1466471168@qq.com
DOI: 10.3978/.10.3978/j.issn.1005-6947.2017.03.013

摘要

目的：探讨多学科协作模式对于重症急性胰腺炎（SAP）的诊断、治疗的意义。方法：对2例SAP死亡病例进行多学科讨论，复习相关文献，总结2例患者诊断、治疗的经验教训。结果：SAP患者急性期需在ICU进行器官功能的支持治疗，出现感染性坏死时推荐升阶梯方案行微创治疗。结论：多学科综合治疗协作模式可提高SAP的救治水平。
关键词： 胰腺炎，急性坏死性 多学科协作

Multidisciplinary discussion on death of two cases of severe acute pancreatitis

Authors: 1LIU Zhiyong, 2HUANG Gengwen
1 Department of Intensive Care Unit, Xiangya Hospital, Central South University, Changsha 410008, China
2 Department of Pancreatobiliary Surgery, Xiangya Hospital, Central South University, Changsha 410008, China

CorrespondingAuthor:HUANG Gengwen Email: 1466471168@qq.com

Abstract

Objective: To assess the importance of multidisciplinary collaboration mode in diagnosis and treatment of severe acute pancreatitis (SAP). Methods: A multidisciplinary discussion was held for two patients, who died of SAP, the relevant literature was reviewed, and the experiences and lessons from their diagnosis and treatment were summarized. Results: SAP patients should be given organ function support in ICU during the acute stage, and minimally invasive "step-up" approach was recommended for the occurrence of infectious necrosis. Conclusion: Multidisciplinary collaborations can improve the treatment outcomes of SAP.
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