Guidelines for treatment of severe acute pancreatitis
Guidelines for treatment of severe acute pancreatitis作者机构:Department of Gastroenterology Shanghai First Municipal People's Hospital Shanghai 200080 China.
出 版 物:《Hepatobiliary & Pancreatic Diseases International》 (国际肝胆胰疾病杂志(英文版))
年 卷 期:2002年第1卷第3期
页 面:446-451页
学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题:pancreatitis therapy inflammatory cytokines necrosectomy
摘 要:Severe acute pancreatitis is a disease of rap- id onset and progression with high mortality and morbidity. A new concept suggests that it is multifac- torially induced and involves multi-links and that therapy must be directed to several more important links at the same time. The regimen of integrated traditional Chinese and western medicine acts on the same or different sites and links to inhibit or block the inflammatory cascades. Concomitantly, preven- tive measures were taken at the start of the treatment for preventing the progression of the disease, protec- ting the function of vital organs, and avoiding the oc- currence of complications. No mortality or serious complications occurred in a series of 38 patients with Balthazar s CT grading of D and E. The treatment regimen and the mechanisms of actions of these drugs were delineated in detail in the tables and figure; the regimen is highly recommended for clinical use.