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目的探讨重症急性胰腺炎早期液体复苏的经验与体会。方法分析32例重症急性胰腺炎患者在早期液体复苏过程;观察复苏时间及治疗过程中出现呼吸衰竭、肾功能不全等并发症情况;对比输入胶体与晶体液的情况。结果全组除死亡2例外,其余(包括经保守治疗失败转手术引流4例)均治愈。结论重症急性胰腺炎急性期液体复苏时及时补充胶体液能减少液体输入量,缩短复苏时间,早期限制性液体输入降低肺损伤等并发症的发生。
Objective To explore the experience and experience of early liquid resuscitation in severe acute pancreatitis. Methods 32 cases of severe acute pancreatitis in patients with early liquid resuscitation process; observe the recovery time and the treatment of respiratory failure, renal insufficiency and other complications; contrast input colloid and crystalloid case. Results In addition to the death of 2 cases in the whole group, the rest (including conservative treatment failed to divert drainage in 4 cases) were cured. Conclusions Timely recovery of fluid during acute resuscitation of severe acute pancreatitis can reduce fluid input, shorten the time of resuscitation and reduce the incidence of complications such as lung injury.