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目的随着社会发展中交通工具的加速、建筑高耸、运行物体,导致人体创伤性重症急性胰腺炎的发生率增加,探讨创伤性重症急性胰腺炎病人手术时机的选择,在于减少严重并发症的发生率、降低死亡率。方法回顾分析63例创伤性重症急性胰腺炎患者的临床资料。结果63例创伤性重症急性胰腺炎患者手术后存活58例,治愈率为92.06%,治愈率明显提高。结论对必须手术治疗的创伤性重症急性胰腺炎,及时手术就能够:①在体质尚未“极度虚弱”之前实施手术,让机体能够经受手术创伤的第二次打击;②及时有效地减少机体消耗,利于恢复;③减轻炎症反应,减少单核巨噬细胞、中性粒细胞及内皮细胞释放的多种促炎细胞因子,从而减轻细胞因子连锁反应;④明显提高创伤性重症急性胰腺炎的治愈率。
Objective With the accelerated development of social means of transport, building towering, running objects, leading to an increase in the incidence of traumatic severe acute pancreatitis in patients with traumatic severe acute pancreatitis to choose the timing of surgery is to reduce the occurrence of serious complications Rate, reduce mortality. Methods The clinical data of 63 patients with traumatic severe acute pancreatitis were retrospectively analyzed. Results 63 cases of patients with traumatic severe acute pancreatitis survived in 58 cases, the cure rate was 92.06%, the cure rate was significantly improved. Conclusion Surgical treatment of traumatic severe acute pancreatitis, timely surgery can: ① in the constitution has not been “extremely weak” prior to the operation, so that the body can withstand the second hit surgical trauma; ② promptly and effectively reduce the body’s consumption, Help to restore; ③ reduce inflammation, reduce monocyte-derived macrophages, neutrophils and endothelial cells release a variety of proinflammatory cytokines, thereby reducing cytokine chain reaction; ④ significantly improve the cure rate of traumatic severe acute pancreatitis .