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首页 > 医学词汇大全 > severe acute pancreatitis complicated with ARDS
severe acute pancreatitis complicated with ARDS

重症

关键词重症 疾病 重症急性胰腺炎并发ARDS

词汇介绍

拓展阅读

解析

severe  英  /sɪˈvɪə(r)/  美  /sɪˈvɪr/  

释    义   adj. 严峻的;严厉的;剧烈的;苛刻的

例    句   The patient suffered severe brain trauma.患者的大脑受到严重损伤。

 

pancreatitis  英  /,pæŋkrɪə'taɪtɪs/  美  /,pænkrɪə'taɪtɪs/  

释    义   n. [内科] 胰腺炎

例    句   The change of chronic pancreatitis tissues fibering was observed by using HE staining.用HE染色法观察慢性胰腺炎组织中纤维化的变化。

 

ards

释    义   abbr. 急性呼吸窘迫综合征(Acute Respiratory Distress Syndrome)

例    句   Objective: To investigate the effect of continuous blood purification on leukocytes functions in patients with ARDS.目的:研究连续性血液净化对急性呼吸窘迫综合征患者白细胞功能的影响。

概述

  重症急性胰腺炎(severe acute pancreatitis,SAP)是重症监护病房(ICU)中常见的涉及多级器官和系统功能障碍的疾病,病情凶险,消耗医疗资源多,且病死率高。文献报道我国急性胰腺炎( acute pancreatitis,AP)的病死率约为10%~15%,即便是在各种器官支持手段和治疗理念飞速进步的今天,我国大型教学医院的重症急性胰腺炎治愈率也只有80%左右,并发急性呼吸窘迫综合征(acute respiratory distress

2019 WSES guidelines for the management of severe acute pancreatitis.复制标题

2019 WSES重症急性胰腺炎管理指南。

发表时间:2019-06-13

影响因子:4.1

作者: Leppäniemi A

期刊:World J Emerg Surg

Acute pancreatitis (AP) represents a disease characterized by acute inflammation of the pancreas and histologically acinar cell destruction. The diagnosis of AP requires at least the presence of two of the three following criteria: (i) abdominal pain consistent with the disease, (ii) biochemical evidence of pancreatitis (serum amylase and/or lipase greater than three times the upper limit of normal), and (iii) characteristic findings from abdominal imaging. Most patients (80–85%) will develop a mild disease course (self-limited, mortality<1–3%), but around 20% will have a moderate or severe episode of AP, with a mortality rate from 13 to 35%. Thus, it is important to diagnose (or better predict) an episode of severe acute pancreatitis (SAP), and to identify the patients with high risk of developing complications.

译文

急性胰腺炎(AP)代表一种以胰腺急性炎症和组织腺泡细胞破坏为特征的疾病。 诊断AP至少需要以下三个标准中的两个:(i)与疾病一致的腹痛,(ii)胰腺炎的生化证据(血清淀粉酶和/或脂肪酶大于正常上限的三倍) ),以及(iii)腹部影像学特征性发现。 大多数患者(80–85%)会发展为轻度疾病(自限性,死亡率<1-3%),但大约20%的患者会出现中度或重度AP,死亡率为13%至35% 。 因此,重要的是诊断(或更好地预测)严重急性胰腺炎(SAP)的发作,并确定发生并发症的高风险患者。