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2006•Journal of Hepatobiliary SurgeryRequires access

CLINICAL ANALYSIS OF 46 DEAD CASES OF SEVERE ACUTE PANCREATITIS

Jia-bang Sun

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Abstract

Objective To investigate the factors influencing the mortality of severe acute pancreatitis(SAP) and the related problems during the treatment.Methods 46 cases of dead patients with SAP admitted from Jan 1990 to Jan 2004 were received,the major factor of death were rewiewed retrospectively,and anazlyed a special type:fulminant acute pancreatitis(FAP).Resaults The mortality of SAP patients is 16.9%(46/272).The high risk factors of death include hypoxaemia、mutiple organ dysfunction syndrome(MODS)、infection、systemic inflammatory response syndrome(SIRS) and abdominal compartment syndrome(ACS).The mortality of FAP is higher than SAP.Conclusions The early treatment of SAP,specially FAP should been attached importance to.The key of reduction the mortality is preventing and treatment of these high risk factors.

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What this paper is about

Objective To investigate the factors influencing the mortality of severe acute pancreatitis(SAP) and the related problems during the treatment.Methods 46 cases of dead patients with SAP admitted from Jan 1990 to Jan 2004 were received,the major factor of death were rewiewed retrospectively,and anazlyed a special type:fulminant acute pancreatitis(FAP).Resaults The mortality of SAP patients is 16.9%(46/272).The high risk factors of death include hypoxaemia、mutiple organ dysfunction syndrome(MODS)、infection、systemic inflammatory response syndrome(SIRS) and abdominal compartment syndrome(ACS).The mortality of FAP is higher than SAP.Conclusions The early treatment of SAP,specially FAP should been attached importance to.The key of reduction the mortality is preventing and treatment of these high risk factors.

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Available abstract

Objective To investigate the factors influencing the mortality of severe acute pancreatitis(SAP) and the related problems during the treatment.Methods 46 cases of dead patients with SAP admitted from Jan 1990 to Jan 2004 were received,the major factor of death were rewiewed retrospectively,and anazlyed a special type:fulminant acute pancreatitis(FAP).Resaults The mortality of SAP patients is 16.9%(46/272).The high risk factors of death include hypoxaemia、mutiple organ dysfunction syndrome(MODS)、infection、systemic inflammatory response syndrome(SIRS) and abdominal compartment syndrome(ACS).The mortality of FAP is higher than SAP.Conclusions The early treatment of SAP,specially FAP should been attached importance to.The key of reduction the mortality is preventing and treatment of these high risk factors.

Key concepts: Medicine, Fulminant, Acute pancreatitis, Abdominal compartment syndrome, Multiple organ dysfunction syndrome, Systemic inflammatory response syndrome, Pancreatitis, Internal medicine

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