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Article in Chinese | WPRIM | ID: wpr-677430


Objectives:To explore the influnce of nutritional support treatment on the prognosis in patients with severe acute nectrotizing pancreatitis. Methods:The patients were divided into experimental group (35 cases of 1995 1999) and control group (33 cases of 1990~1994).The biochemical indicators complications and mortality rate were retrospectiverly analyzed between groups. Results:After treatment of 3 days,the amylase,transaminase,BUN,WBC and glucose in experimental group decreased significantly.TLC after treatment in experimental group was significantly different( P

Article in Chinese | WPRIM | ID: wpr-535403


64 cases of gallstone pancreatitis were treatedin our hospital in recent eight years. Early biliaryoperations were performed in 36 cases and good re-sults were got. Gallstone pancreatitis has the char-acteristics of cholelithiasis, the temporary damageof liver and the manifestations of pancreatitis, aswell. The purpose of the paper is to analyse anddiscuss diagnostic methods and treatment of gall-stone pancreatitis. It is important to perform theexaminations of ultrasound scanning and liverfunction in differential diagnoses. The necessity ofoperation is emphasized. It is also proposed thatbiliary operation be performed early as soon as theinflammation of pancreas is controlled effectively.

Article in Chinese | WPRIM | ID: wpr-535368


Of the 250 cases of blunt abdominal trauma,15 cases of pancreatic lesions were complicatedwhich include 3 cases lacerated on the head of pan-creas, 5 on the body, 6 on the tail and one con-tused. The pancreatic bed drainage was performedfor one case, repair for 8 cases and pancreatic tailresection for 6 cases, In author's experiences, theroutinely inspecting the pancreas was carried outintra operatively, with blunt epigastric trauma, es-pecially the light red hemotoliquid was found bypericentesis. Operative method was classified frompancreatic bed drainage, repair and resection in ac-cordance with severity of the trauma, For prevent-ing the pancreatic juice fistula, the main pancreaticduct must try its best to be ligated. If the traumais on the head, a common bile duct and duodenumdecompression must be done.