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经皮置管引流前行腹腔穿刺引流治疗合并液体积聚的急性胰腺炎
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Pancreatology
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1674-1935.2014.06.012
- Key Word:
- No keyword available
Abstract： 2010年van Santvooa等[1]的一项著名的前瞻性队列研究建立了完整的治疗感染性坏死性胰腺炎的升阶梯治疗(step-up approach)方法,替代了传统的开腹坏死组织清除术,并作为治疗急性胰腺炎(AP)的主要方法.这种阶梯式治疗包括非手术治疗、经皮置管引流(percutaneous catheter drainage,PCD)以及微创腹膜后坏死组织清除术.目前,因其具备现代损伤控制学说的理念[2],受到了越来越多的关注,相关研究屡见报道.根据亚特兰大修订的2012版AP分类标准[3],AP早期常合并急性胰周液体积聚(acute peripancreatic fluid collections,APFC).本研究提出了在PCD前进行腹腔穿刺引流(abdominal paracentesis drainage,APD)的新阶梯式治疗AP合并APFC的方法,现报道如下.
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