Effect of Huo-Xue-Hua-Yu Therapy on Pancreatic Pseudocysts in Patients with Severe Acute Pancreatitis_West China Medical Journal

Authors：

REN Yanyi , WAN Meihua , TANG Wen fu , et al.

Department of Integrated Chinese and Western Medicine,West China Hospital,Sichuan University,Chengdu 610041 China;

Corresponding?author：

Keywords：

活血化瘀; 急性胰腺炎; 胰腺假性囊腫

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目的:觀察活血化瘀法治療重癥急性胰腺炎并發胰腺假性囊腫的臨床效果。方法:對并發假性囊腫的重癥急性胰腺炎(severe acute pancreatitis,SAP)患者采用活血化瘀為主,內服中藥以桃紅四物湯加減,六合丹外敷腹部或脅肋部,丹參注射液靜脈滴注。結果:105例并發假性囊腫的SAP患者中14例因感染發生膿腫而手術,12例因假性囊腫壓迫胃腸導致不全性腸梗阻而進行擇期囊腫內引流術,79例經活血化瘀治療后好轉。結論：大多數SAP并發胰腺假性囊腫可以通過活血化瘀法得到控制,并發感染或者腸梗阻者仍需要積極手術治療。

Citation： REN Yanyi,WAN Meihua,TANG Wen fu,et al.. Effect of Huo-Xue-Hua-Yu Therapy on Pancreatic Pseudocysts in Patients with Severe Acute Pancreatitis. West China Medical Journal, 2009, 24(3): 632-634. doi: Copy

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1. 吳階平,裘法祖.黃家駟外科學[M].北京:人民衛生出版社,1986:2199..
2. COOPERMAN AM.An overview of pancreatic pseudocysts:the emperor’s new clothes revisited[J].Surg Clin North Am,2001,81(2):391-397..
3. 中華醫學會胰腺外科學組.急性胰腺炎的臨床治療與分級標準[J].中華外科雜志,1997,35(12):773-5..
4. SAHEL J.Endoscop ic drainage of pancreatic cyst [J].Endoscopy,1991,23:181-184..
5. BRUGGE WR.Approaches to the drainage of pancreatic pseudo cysts [J].Current Opinion in Gastroenterology,2004,20(5):488 -492..
6. SHINCHI H,TAKAO S,MAEMURA K,et al.Endoscopic Transgastric Drainage of Pancreatic Pseudocyst With the Use of Nd:YAG Laser [J].Surgical Laparoscopy,Endoscopy & Percutaneous Techniques,2005,15(6):351-354..
7. 夏慶,蔣俊明.活血化瘀清熱解毒治療急性胰腺炎的機理研究[J].四川中醫,2000,18(6):14..
8. 阮利群,蔡愛群.丹參注射液治療重癥胰腺炎72例療效觀察[J].浙江預防醫學,2003,15:78..

West China Medical Journal

Effect of Huo-Xue-Hua-Yu Therapy on Pancreatic Pseudocysts in Patients with Severe Acute Pancreatitis

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