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目的:探讨重症急性胰腺炎引起的腹腔内出血的原因和治疗经验。方法:回顾性分析1997年3月~2007年3月19例重症急性胰腺炎引起的腹腔内出血病例的临床资料。结果:19例患者中死亡9例,总病死率为47.4%。其中行经皮穿刺出血动脉栓塞术(TAE)11例中死亡4例(36.4%),手术8例中死亡3例(37.5%),TAE失败5例中死亡2例(40.0%)。结论:重症急性胰腺炎引起的腹腔内出血的原因以胃十二指肠黏膜糜烂和溃疡出血为主;TAE是治疗重症急性胰腺炎造成的腹腔内出血的简便、安全、有效的方法。
Objective: To investigate the causes and treatment experience of intraperitoneal hemorrhage caused by severe acute pancreatitis. Methods: The clinical data of 19 cases of severe acute pancreatitis caused by intraperitoneal hemorrhage from March 1997 to March 2007 were retrospectively analyzed. Results: 9 patients died in 9 cases, the total case fatality rate was 47.4%. Among them, 4 cases (36.4%) died of percutaneous transhepatic arterial embolization (TAE) in 11 cases, 3 cases died in 8 cases (37.5%), 2 cases died of TAE failure (40.0%). Conclusions: The causes of intraperitoneal hemorrhage caused by severe acute pancreatitis are gastroduodenal mucosal erosion and ulcer bleeding. TAE is a simple, safe and effective method for treating intra-abdominal hemorrhage caused by severe acute pancreatitis.