Acute pancreatitis

被引：9

作者：

Hecker, M. ^{[1
]}

Mayer, K. ^{[1
]}

Askevold, I. ^{[2
]}

Collet, P. ^{[3
]}

Weigand, M. A. ^{[4
]}

Krombach, G. A. ^{[5
]}

Padberg, W. ^{[2
]}

Hecker, A. ^{[2
]}

机构：

[1] Univ Klinikum Giessen & Marburg, Med Klin 2, Standort Giessen, D-35392 Giessen, Germany

[2] Univ Klinikum Giessen & Marburg, Klin Allgemein Viszeral Thorax & Transplant Kinde, Standort Giessen, D-35392 Giessen, Germany

[3] Univ Klinikum Giessen & Marburg, ZIVE, Standort Giessen, D-35392 Giessen, Germany

[4] Univ Klinikum Giessen & Marburg, Klin Anaesthesiol Operat Intens Med & Schmerzther, Standort Giessen, D-35392 Giessen, Germany

[5] Univ Giessen Klinikum, Klin Diagnost & Interventionelle Radiol, Giessen, Germany

来源：

ANAESTHESIST | 2014年 / 63卷 / 03期

关键词：

Analgesics; Enteral nutrition; Antibiotics; Necrosis; Cholangiopancreatography; NECROTIZING PANCREATITIS; GUIDELINES; MANAGEMENT; NUTRITION; CONSENSUS;

D O I：

10.1007/s00101-014-2307-x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Acute pancreatitis is a potentially fatal disease with individually differing expression of systemic involvement. For this reason early diagnosis with subsequent risk stratification is essential in the clinical management of this frequent gastroenterological disorder. Severe forms of acute pancreatitis occur in approximately 20 % of cases often requiring intensive care monitoring and interdisciplinary therapeutic approaches. In the acute phase adequate fluid replacement and sufficient analgesic therapy is of major therapeutic importance. Concerning the administration of antibiotics and the nutritional support of patients with acute pancreatitis a change in paradigms could be observed in recent years. Furthermore, endoscopic, radiological or surgical interventions can be necessary depending on the severity of the disease and potential complications.

引用

页码：253 / 261

页数：9