急性重症胰腺炎早期行腹腔穿刺置管引流的价值分析

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Abstract Objective To analyze the application value of early abdominal paracentesis drainage (APD) in severe acute pancreatitis (SAP). Methods A total of 94 patients with SAP admitted to Yichun People′s Hospital between January 2018 and November 2020 were enrolled and divided into control group (47 cases) and observation group (47 cases) by simple number table method. The control group was given routine treatment regimens, the observation group underwent early APD on basis of control group. The stay time in ICU, mechanical ventilation time and levels of laboratory test indexes were compared between the two groups. Results The length of ICU hospitalization and mechanical ventilation in the observation group were shorter than those in the control group, and the differences were statistically significant (P＜0.05).After treatment,the observation group′s blood glucose, procalcitonin (PCT), the arterial blood lactic acid level were lower than those of the control group, C-reactive protein (CRP) was higher than that of the control group, the differences were statistically significant (P＜0.05). After treatment, the blood calcium level of the observation group was higher than that of the control group, the difference was statistically significant (P＜0.05). Conclusion Early APD can significantly shorten stay time in ICU and mechanical ventilation time in SAP patients, and improve levels of laboratory test indexes.

Key words： Severe acute pancreatitis Abdominal paracentesis drainage Percutaneous retroperitoneal catheter drainage C-reactive protein

Received: 18 August 2021

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