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目的探讨多学科诊治(MDT)在重症急性胰腺炎(SAP)中的应用效果。方法回顾性分析47例SAP患者的临床资料,MDT治疗方案根据病情变化以会诊形式进行,会诊专家制订个体化方案,分析MDT会诊治疗效果及预后情况。结果 MDT会诊121次,保守治愈22例,经皮穿刺引流16例,手术引流12例(包括穿刺引流不佳3例),总治愈率85.1%(40/47),死亡率14.9%(7/47)。结论 SAP治疗中MDT能弥补单科室的不足,可为患者提供合理的个体化治疗方案,并提高患者依从性,具有较好的临床意义。
Objective To explore the application of multidisciplinary diagnosis and treatment (MDT) in severe acute pancreatitis (SAP). Methods The clinical data of 47 patients with SAP were retrospectively analyzed. The MDT treatment regimen was based on the changes of the condition. The individual consultation was made by the consultation experts, and the therapeutic effect and prognosis of MDT consultation were analyzed. Results 121 cases were treated by MDT, 22 cases were conservatively cured, 16 cases were treated by percutaneous drainage, 12 cases were treated by drainage (including 3 cases with poor puncture drainage), the total cure rate was 85.1% (40/47) and the mortality rate was 14.9% (7 / 47). Conclusion MDT in SAP treatment can make up for the shortage of single department, which can provide patients with reasonable individualized treatment plan and improve patient compliance, which has a good clinical significance.