摘要
重症急性胰腺炎(SAP)越来越被多学科临床医师重视,SAP早期病死率较前下降,但后期病死率仍较高.感染和出血为SAP主要致死原因,两者可互为因果.SAP后期出血并发症起病急、进展快,是一线临床医师面临的棘手问题.笔者系统阐述SAP常见出血并发症的类型及处理方式,旨在帮助临床医师结合具体情况制订适宜的出血并发症处置流程,尽早处理、控制、解决SAP出血并发症.
Multidisciplinary clinicians are increasingly recognizing severe acute pancreatitis(SAP).The early mortality rate of SAP has decreased,but the late mortality rate remains high.Intra-abdominal infection and bleeding complications are the most common causes of death in the late stage of SAP,and they may be causally related to each other.The onset and progression of bleeding complications in the late stage of SAP are rapid,posing a challenging problem for frontline clinicians.The authors systematically describe the types and management methods of common bleeding complications in SAP to help other clinicians formulate suitable bleeding complication management protocols based on individual situations.This will contribute to the early control and ultimate resolution of bleeding complications in SAP.
作者
吴银山
郭丰
Wu Yinshan;Guo Feng(Department of Critical Care Medicine,Center of Severe Pancreatitis,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China)
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2023年第11期1295-1299,共5页
Chinese Journal of Digestive Surgery
关键词
胰腺炎
并发症
消化道出血
腹腔出血
腹腔感染
策略
Pancreatitis
Complications
Gastrointestinal bleeding
Abdominal hemorrhage
Intra-abdominal infection
Strategv
