诊断和急性胰腺炎的管理
Guru Trikudanathan1, Cemal Yazici2, Anna Evans Phillips3
1Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota.
急性胰腺炎 (AP) 管理已经显著发展,强调早期养和最少的侵入性技术. 目前的护理标准现在避免了某些干预措施,并专注于预防复发和糖尿病等长期并发症.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
背景情况:
- 全球所有年龄段急性胰腺炎 (AP) 发病率正在上升.
- 在过去的十年中,AP管理方面取得了重大进展.
研究的目的:
- 提供关于急性胰腺炎管理的关键变化的最新信息.
- 突出这一日益普遍的疾病的护理标准的不断变化.
主要方法:
- 审查最近的文献和临床指导方针.
- 综合了急性胰腺炎的最新管理策略.
主要成果:
- 目前的护理标准包括避免全方位肠道营养和预防性抗生素.
- 建议早期养,同时接受胆囊切除术,以及针对感染性亡的最小侵入性方法.
- 强调识别和管理AP复发的风险,进展为慢性胰腺炎,糖尿病和外分泌功能不全.
结论:
- 更新的管理策略旨在改善结果并减少与急性胰腺炎相关的并发症.
- 目前正在进行的研究重点是AP的长期后果,包括代谢和消化功能不充分.
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