• 四川大學(xué)華西醫(yī)院中西醫(yī)結(jié)合科,四川成都 610041;

目的:觀察活血化瘀法治療重癥急性胰腺炎并發(fā)胰腺假性囊腫的臨床效果。方法:對并發(fā)假性囊腫的重癥急性胰腺炎(severe acute pancreatitis,SAP)患者采用活血化瘀為主,內(nèi)服中藥以桃紅四物湯加減,六合丹外敷腹部或脅肋部,丹參注射液靜脈滴注。結(jié)果:105例并發(fā)假性囊腫的SAP患者中14例因感染發(fā)生膿腫而手術(shù),12例因假性囊腫壓迫胃腸導(dǎo)致不全性腸梗阻而進行擇期囊腫內(nèi)引流術(shù),79例經(jīng)活血化瘀治療后好轉(zhuǎn)。結(jié)論：大多數(shù)SAP并發(fā)胰腺假性囊腫可以通過活血化瘀法得到控制,并發(fā)感染或者腸梗阻者仍需要積極手術(shù)治療。

引用本文： 任燕怡,萬美華,唐文富,陳光遠(yuǎn). 活血化瘀法治療重癥急性胰腺炎并發(fā)胰腺假性囊腫. 華西醫(yī)學(xué), 2009, 24(3): 632-634. doi: 復(fù)制

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  1. 1. 吳階平,裘法祖.黃家駟 外科學(xué)[M].北京:人民衛(wèi)生出版社,1986:2199..
  2. 2. COOPERMAN AM.An overview of pancreatic pseudocysts:the emperor’s new clothes revisited[J].Surg Clin North Am,2001,81(2):391-397..
  3. 3. 中華醫(yī)學(xué)會胰腺外科學(xué)組.急性胰腺炎的臨床治療與分級標(biāo)準(zhǔn)[J].中華外科雜志,1997,35(12):773-5..
  4. 4. SAHEL J.Endoscop ic drainage of pancreatic cyst [J].Endoscopy,1991,23:181-184..
  5. 5. BRUGGE WR.Approaches to the drainage of pancreatic pseudo cysts [J].Current Opinion in Gastroenterology,2004,20(5):488 -492..
  6. 6. SHINCHI H,TAKAO S,MAEMURA K,et al.Endoscopic Transgastric Drainage of Pancreatic Pseudocyst With the Use of Nd:YAG Laser [J].Surgical Laparoscopy,Endoscopy & Percutaneous Techniques,2005,15(6):351-354..
  7. 7. 夏慶,蔣俊明.活血化瘀清熱解毒治療急性胰腺炎的機理研究[J].四川中醫(yī),2000,18(6):14..
  8. 8. 阮利群,蔡愛群.丹參注射液治療重癥胰腺炎72例療效觀察[J].浙江預(yù)防醫(yī)學(xué),2003,15:78..