急性胰腺炎的当代管理:你需要知道的
Rachael Palumbo1, Kevin M Schuster
1From the Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
急性胰腺炎的治疗不断发展,强调初始液体复苏,肠道营养和监测. 对于严重的病例,最好采用最少的侵入性逐步方法,而不是传统的死体切除术.
科学领域:
- 急性护理手术是急性护理手术.
- 胃肠病学 胃肠病学
- 手术重症监护手术重症监护
背景情况:
- 急性胰腺炎及其并发症是急性护理外科医生经常面临的挑战.
- 随着操作和内镜技术的发展,需要更新管理指南.
研究的目的:
- 从急性护理手术的角度概述急性胰腺炎的当前诊断和治疗指南.
- 讨论关键的管理主题,包括营养,胆囊切除术时间和液体收集管理.
主要方法:
- 对急性胰腺炎的当前诊断和治疗指南的审查.
- 讨论最佳营养,胆结石胰腺炎中胆囊切除术时间和周围胰腺液收集管理.
- 重点是初始管理策略和先进的干预方式.
主要成果:
- 最初的管理包括液体复苏,早期肠道营养和监测; 横截面成像和抗生素被认为是感染的.
- 评分系统 (修订的亚特兰大标准,BAIP,ASAST) 有助于分类严重程度.
- 胆汁性胰腺炎的治疗包括在出院前 (轻度) 或在8周内 (死) 进行胆囊切除;早期的液体采集在非手术情况下进行管理,除非感染或有症状.
结论:
- 严重的急性胰腺炎的治疗可能涉及内镜,皮肤或手术脱bridement.
- 从传统的尸体切除术转向最少侵入性的渐进式方法.
- 急性护理外科医生需要熟练掌握最少的侵入性技术,以有效管理患者.
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