目的:观察活血化瘀法治疗重症急性胰腺炎并发胰腺假性囊肿的临床效果。方法:对并发假性囊肿的重症急性胰腺炎(severe acute pancreatitis,SAP)患者采用活血化瘀为主,内服中药以桃红四物汤加减,六合丹外敷腹部或胁肋部,丹参注射液静脉滴注。结果:105例并发假性囊肿的SAP患者中14例因感染发生脓肿而手术,12例因假性囊肿压迫胃肠导致不全性肠梗阻而进行择期囊肿内引流术,79例经活血化瘀治疗后好转。结论：大多数SAP并发胰腺假性囊肿可以通过活血化瘀法得到控制,并发感染或者肠梗阻者仍需要积极手术治疗。
Citation：
REN Yanyi,WAN Meihua,TANG Wen fu,et al.. Effect of Huo-Xue-Hua-Yu Therapy on Pancreatic Pseudocysts in Patients with Severe Acute Pancreatitis. West China Medical Journal, 2009, 24(3): 632-634. doi:
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- 1. 吴阶平,裘法祖.黄家驷 外科学[M].北京:人民卫生出版社,1986:2199..
- 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. 中华医学会胰腺外科学组.急性胰腺炎的临床治疗与分级标准[J].中华外科杂志,1997,35(12):773-5..
- 4. SAHEL J.Endoscop ic drainage of pancreatic cyst [J].Endoscopy,1991,23:181-184..
- 5. BRUGGE WR.Approaches to the drainage of pancreatic pseudo cysts [J].Current Opinion in Gastroenterology,2004,20(5):488 -492..
- 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. 夏庆,蒋俊明.活血化瘀清热解毒治疗急性胰腺炎的机理研究[J].四川中医,2000,18(6):14..
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