| 姚佳柔,田彦璋,刘世洲,郭耀,莫绍剑.创伤递增策略治疗重症急性胰腺炎的研究进展[J].中华老年多器官疾病杂志,2020,19(12):957~960 |
| 创伤递增策略治疗重症急性胰腺炎的研究进展 |
| Research progress of step-up strategy in treatment of severe acute pancreatitis |
| 投稿时间：2020-01-13 |
| DOI：10.11915/j.issn.1671-5403.2020.12.219 |
| 中文关键词: 重症急性胰腺炎;治疗;微创;创伤递增策略 |
| 英文关键词:severe acute pancreatitis; treatment; minimal invasiveness; step-up strategyThis work was supported by the Project of Key Research & Development Plan of Shanxi Province |
| 基金项目:山西省重点研发计划项目(201903D321165); 山西白求恩医院136兴医工程项目(2019XY004) |
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| 中文摘要: |
| 重症急性胰腺炎(SAP)是临床上常见的急危重疾病之一。病程早期通过全量补液、积极抗感染等治疗已取得了巨大的成效,然而病程后期出现感染性胰腺坏死时,治疗效果差强人意。随着微创技术的迅速发展,创伤递增(step-up)策略已逐渐取代传统开腹清创术,并取得了良好的治疗效果。但由于患者的个体差异及治疗手段的多样性,目前治疗方案仍未有统一标准。在近年新兴的微无创理念指导下,step-up策略也将得到进一步完善。本文就step-up策略治疗SAP的应用现状进行阐述,并为SAP的外科诊疗方案提供方向和依据。 |
| 英文摘要: |
| Severe acute pancreatitis (SAP) is one of the most common critical illnesses clinically. Although great achievements have been made through total rehydration and active anti-infection in the early stage of the disease, the treatment outcome is still not satisfactory when infected pancreatic necrosis occurs in the later stage. With the rapid development of the concept of minimal invasiveness, the step-up strategy has gradually replaced the strategy of open debridement and achieved good therapeutic results. However, because of the individual differences of patients and the diversity of treatment methods, there is still no uniform standard for current treatment plans. In recent years, the step-up strategy will be further improved under the guidance of the emerging micro-non-invasive concept. This article introduces the current status of this strategy in treatment of SAP, and provides guidance and evidence for its surgical treatment. |
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