Combined treatment of severe acute pancreatitis in ICU / 重庆医科大学学报

ABSTRACT

Objective:To evaluate the effect and the significance of combined treatment for severe acute pancreatitis in ICU.Methods:96 cases of severe acute pancreatitis treated in ICU of the hospital where the authors worked from Jan.1996 to Jun.2004 were analyzed retrospectively.Results:GroupⅠwere treated with routine methods.14 patients died and the mortality was 31.8%(14/44).Group Ⅱwere treated with routine methods combined with continuous renal replacement therapy(CRRT).5 patients were treated with CRRT twice.26 patients were treated with emergent endoscopic retrograde cholangiopancreatography(ERCP),endoscopic sphincterotomy(EST) and endoscopic naso-bile drainage(ENBD).32 patients were treated with the mechanical ventilation.46 patients were cured and 6 patients died. The mortality was 11.5%(6/52).Conclusion:The combined treatment in ICU can increase the curative effect of the severe acute pancreatitis.