摘要
目的探讨胰性脑病的发病机制、诊断,评价各种治疗措施的疗效。方法回顾分析23例PE的诊治经过及疗效。结果本组治愈出院12例。11例死亡,病死率为47.8%,其中手术组死亡5例,病死率为62.5%,非手术组死亡6例,病死率为40%。5例死于MOSF,1例死于感染性休克。结论PE的发生与胰酶、炎症介质和感染等因素有关;PE的诊断应以AP为基础,以精神神经症状的出现为条件,相关辅助诊断标准有待于进一步确定。AP的常规治疗、治疗MOSF及纠正水电解质等是PE的基础治疗,神经营养保护治疗是PE的重要内容。
Objective To explore the mechanism ,diagnosis of pancreatic encephalopathy（PE） ;To evaluate the therapy of PE. Methods To analyze the treatment and diagnosis of 23 PE patients. Results 12 PE patients were cured, llpatients were dead,the mortality is 47.8% ,Spatients in operation group died,the mortality is 62.5%. 6 patients in non - operation group were dead, the mortality is 40% , among them,Spatients died for multiple organ system falure, one died for septic shock. Conclusions PE is relating to serum amylase inflammatory mediators and infection etc. The diagnosis of PE is based on AP and neurological and mental abnormality. The relative auxiliary diagnosis standard is uncertain, the conventional therapy of PE the remedy of MOSF and disorder in water and eleetrohes were basic therapy. the nerve preserving is necessary for PE＇s therapy.
出处
《医学研究杂志》
2007年第1期80-81,共2页
Journal of Medical Research
