严重急性胰腺炎的实际管理
Karim Hamesch1, Marcus Hollenbach2, Lucía Guilabert3
1Medical Clinic III, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital RWTH Aachen, Aachen, Germany.
European journal of internal medicine
|November 29, 2024
概括
严重急性胰腺炎 (SAP) 的管理需要多学科的方法. 本综述综合了最近的证据,用于在急诊和重症监护中进行最佳诊断和治疗,改善患者的治疗结果.
科学领域:
- 胃肠病学和肝病学
- 关键护理医学 关键护理医学
- 手术科学 手术科学
背景情况:
- 急性胰腺炎 (AP) 是导致住院和重症监护室住院的常见原因,患病率不断增加,医疗费用显著增加.
- 严重的急性胰腺炎 (SAP) 是一种高发病率和死亡率的危及生命的疾病,需要长时间住院治疗.
- 有效的SAP管理取决于各种医疗专家之间的持续跨学科合作.
研究的目的:
- 综合最近关于严重急性胰腺炎 (SAP) 实际管理的证据.
- 专注于紧急和重症监护机构的既定和新型诊断和治疗范式.
- 加强跨学科的方法,以改善SAP中患者的治疗结果.
主要方法:
- 对SAP管理的最新证据的审查.
- 专注于诊断工作,风险分层和治疗干预.
- 探索成像方式,器官支持和抗感染策略.
主要成果:
- 突出了SAP的确立和新的诊断和治疗范式.
- 讨论了局部和血管并发症的管理,包括内镜,穿皮和手术选择.
- 解决胆道AP的管理,包括成像和ERCP和胆囊切除术等程序的时间.
结论:
- 将新证据纳入临床实践对于SAP管理至关重要.
- 加强跨学科的方法对于改善严重急性胰腺炎的结果至关重要.
- 该审查为SAP提供了紧急和重症监护机构日常临床实践的指导.
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