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重症急性胰腺炎早期经灌肠容量复苏的临床疗效
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Pancreatology
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.1674-1935.2018.01.011
- Key Word:
- No keyword available
Abstract： 重症急性胰腺炎(SAP)早期即出现毛细血管渗漏综合征,体液分布异常,有效循环血量不足,临床出现心率加快、尿量减少、血压下降等低血容量性休克症状[1].早期液体复苏对于改善组织氧合和微循环灌注具有关键性作用,不仅有助于保护胰腺的灌注,而且可以增加肾脏和心脏的灌注,显著改善预后,减少后期并发症发生率,降低死亡率[2].经静脉补液是容量复苏最常用方法,但其存在增加心肺功能损伤和腹腔高压发生率的弊端[3].近几年上海普陀医院外科ICU对SAP患者在静脉液体复苏同时给予直肠灌肠补液取得良好效果,现报告如下.
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