The Treatment of 85 Severe Acute Biliary Pancreatitis Patients with Integrated Medicine_West China Medical Journal

Authors：

1.Department of Gastroentrology, Suining central Hospital, Suining Sichuan 629000, China;2. Department of Integrated Traditional Chinese and Western Medicine, West China hospital, Sichuan University, Chengdu 610041, China;

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Keywords：

重症急性胆源性胰腺炎; 中西医结合; 柴芩承气汤

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目的:观察中西医结合综合治疗重症急性胆源性胰腺炎(SABP)的效果。方法:回顾性分析四川大学华西医院2004年1月至2007年8月收治的85例SABP患者在给予禁食、胃肠减压、补液、预防及治疗感染、维持内环境、营养支持、抑制胃肠和胰液的分泌治疗的基础上给予中药柴芩承气汤经口入或保留灌肠导泻,观察这些患者的治疗效果。结果:85例SABP患者经过中西医结合内科保守治疗后58名痊愈,14例患者症状缓解出院。5例患者死亡,8例患者治疗无效,无效率为15.3%,死亡率为5.9%。结论:中西医结合方法治疗SABP患者可明显提高治疗效果及降低死亡率。

Citation： FAN Jingyun,XU Jianyu,YAO Yong,et al. The Treatment of 85 Severe Acute Biliary Pancreatitis Patients with Integrated Medicine. West China Medical Journal, 2009, 24(4): 868-870. doi: Copy

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11.	张肇达,严律南,刘续宝. 急性胰腺炎[M]. 北京:人民卫生出版社,2004..
12.	冯志松,黄涛,任权,冯迎春,黄旻,廖娟.中药泻下法治疗重症急性胰腺炎的临床观察[J].中国中西医结合急救杂志,2007,14(1):11-13..
13.	袁楚明,陈梦云,李奕琏,陈健芳.早期应用生大黄对重症急性胰腺炎的疗效[J].胰腺病学,2007,7(1):31-33..
14.	刘续宝, 严律南, 张肇达. 重症急性胰腺炎435例的手术治疗时机及手术指征[J]. 中华普通外科杂志, 2000, 15 (5): 277-279..
15.	唐文富,万美华.重症急性胰腺炎的循证临床进展[J].世界华人消化杂志,2008,16(3):292-298..
16.	QIONG W, YIPING W, JINL IN Y, TAO G, ZHEN G, PENGCHENG Z. Chinese medicinal herbs for acute pancreatitis[J]. Cochrane Database Systematic Reviews: CD003631,2005.

1. 中华医学会消化病学分会胰腺病学组. 中国急性胰腺炎诊治指南(草案)[J]. 胃肠病学,2004, 9(2): 110-112..
2. 张文兴。内镜联合治疗24例胆源性急性胰腺炎的体会[J].胰腺病学,2003,3(4):234-235..
3. TOOULI J, BROOKE-SMITH M, BASSI C, et al. Guidelines for the management of acute pancreatitis[J]. J Gastroenter Hepat, 2002, 17(suppl): S15-S39..
4. OPIE EL. The etiology of acute hemorrhagic pancreatitis[J]. Bull Johns Hopkins Hosp,1901, 12: 182-198..
5. ACOSTA JM, LEDESMA CL. Gallstone migration as a cause of acute pancreatitis[J]. N Engl J Med,1974, 290(9): 484-487..
6. 吕云福主编.现代胰腺外科学[M].北京:人民军医出版社,2003:122- 123..
7. 薛平,黄宗文,郭佳,赵健蕾,李永红,王忠朝. 早期应用柴芩承气汤治疗胆源性重症急性胰腺炎的临床研究[J]. 中西医结合学报,2005, 3(4):263-265..
8. 许海民,邱云峰,王为民.125例胆源性急性胰腺炎诊治体会[J].中西医结合学报,2006,4(5):537-538..
9. 王兴鹏. 加强重症急性胰腺炎临床若干问题的研究[J]. 中华消化杂志,2003,23(12):709-710.
10. ACOSTA JM, RUBIO GALLI OM, ROSSI R, et al. Effect of duration of ampullary gallstone obstruction on severity of lesions of acute pancreatitis[J]. J Am Coll Surg,1997, 185(4):423-424..
11. 张肇达,严律南,刘续宝. 急性胰腺炎[M]. 北京:人民卫生出版社,2004..
12. 冯志松,黄涛,任权,冯迎春,黄旻,廖娟.中药泻下法治疗重症急性胰腺炎的临床观察[J].中国中西医结合急救杂志,2007,14(1):11-13..
13. 袁楚明,陈梦云,李奕琏,陈健芳.早期应用生大黄对重症急性胰腺炎的疗效[J].胰腺病学,2007,7(1):31-33..
14. 刘续宝, 严律南, 张肇达. 重症急性胰腺炎435例的手术治疗时机及手术指征[J]. 中华普通外科杂志, 2000, 15 (5): 277-279..
15. 唐文富,万美华.重症急性胰腺炎的循证临床进展[J].世界华人消化杂志,2008,16(3):292-298..
16. QIONG W, YIPING W, JINL IN Y, TAO G, ZHEN G, PENGCHENG Z. Chinese medicinal herbs for acute pancreatitis[J]. Cochrane Database Systematic Reviews: CD003631,2005.

West China Medical Journal

The Treatment of 85 Severe Acute Biliary Pancreatitis Patients with Integrated Medicine

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