The acute pancreatitis [Die akute pankreatitis. Klassifikation - Diagnostik - Therapie]

被引：0
作者：
Sulkowski U. [1 ,3 ]
Lange V. [2 ]
Dinse P. [1 ]
机构：
[1] Klin. und Poliklin. F. Allg. Chir., Westfälische Wilhelms-Univ., Münster
[2] Klin. Poliklin. F. A., Westfälische Wilhelms-Univ., Münster
[3] Klinik für Allgemeine Chirurgie, Westfälischen Wilhelms-Univ., D-48149 Münster
来源：
Der Anaesthesist | 1998年 / 47卷 / 9期
关键词：
Acute pancreatitis; Infection of necroses; Necrosectomy; Pancreatic necroses;
D O I：
10.1007/s001010050624
中图分类号：
学科分类号：
摘要：
Acute pancreatitis is a multietiologic entity with rather diverse clinical courses. Whereas edematous pancreatitis has a mortality of less than 1%, nowadays; still approximately 20% of all patients with the necrotizing form succumb to the disease. To further improve therapeutic results a standardized approach should be used. For effective treatment the differentiation between edematous and necrotizing pancreatitis is crucial. All patients with signs of pancreatic necroses during abdominal ultrasound and patients with organ insufficiencies should undergo a CT-scan to define exactly the nature and the extent of the disease. Primarily all patients are treated conservatively. Main indications for operative intervention are signs for infection of pancreatic necroses and an acute abdomen due to local complications of acute pancreatitis. In cases of biliary origin an elective cholecystectomy has to be performed during a free interval to prevent a recurrence.
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页码：765 / 777
页数：12
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共 103 条
  • [1] Acosta J.M., Ledesma C.L., Gallstone migration as a cause of acute pancreatitis, New Engl J Med, 290, pp. 484-489, (1974)
  • [2] Acosta J.M., Pellegrini C.A., Skinner D.B., Etiology and pathogenesis of acute biliary pancreatitis, Surgery, 88, pp. 118-123, (1980)
  • [3] Aho H.J., Koskensalo S.M., Nevalainen T.J., Experimental pancreatitis in the rat. Sodium taurocholate-induced acute hemorrhagic pancreatitis, Scand J Gastroenterol, 15, pp. 411-416, (1980)
  • [4] Ais G., Lopez-Farre A., Gomez-Garre D.N., Novo C., Romeo J.M., Lopez-Novoa J.M., Role of platelet-activating factor in hemodynamic derangements in acute rodent pancreatic model, Gastroenterology, 102, pp. 181-187, (1992)
  • [5] Ammann R., Akute oder chronische Pankreatitis - Weiterhin eine Frage der Interpretation oder der Definition, Dtsch Med Wochenschr, 111, pp. 561-562, (1986)
  • [6] Arendt T., Penetration of lanthanum through the main pancreatic duct epithelium in cats following exposure to infected human bile, Dig. Dis Sci, 36, pp. 75-81, (1991)
  • [7] Armstrong C.P., Taylor T.V., Torrance H.B., Effects of bile, infection and pressure on pancreatic duct integrity, Br J Surg, 72, pp. 792-795, (1985)
  • [8] Armstrong C.P., Taylor T.V., Pancreatic duct reflux and acute gallstone pancreatitis, Ann Surg, 204, pp. 59-64, (1986)
  • [9] Austin J.L., Sieckmann G., Effect of pancreatic duct pressure on pancreatic duct permeability to macromolecules, Gastroenterology, 86, pp. 1017-1021, (1984)
  • [10] Balthazar E.J., Contrast-enhanced computed tomography in severe cute pancreatitis, Acute Pancreatitis, (1993)
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