题名

急性胰臟炎診斷與治療之新進展

DOI

10.6666/ClinMed.201909_84(3).0102

作者

吳佳憲;范郁敏;高士勛;方冠傑;蘇建維

关键词

急性胰臟炎(acute pancreatitis) ; 腹痛(abdominal pain) ; 膽結石(gallstones) ; 假性囊腫(pseudocyst)

期刊名称

臨床醫學月刊

卷期/出版年月

84卷3期(2019 / 09 / 27)

页次

623 - 632

内容语文

繁體中文

中文摘要

胰臟炎的分類基礎是建立在西元1963年在法國馬賽所召開的世界大會。初步將胰臟炎分成急性胰臟炎、急性反覆胰臟炎、慢性胰臟炎、慢性反覆胰臟炎。一直到1992亞特蘭大會議制定標準,簡化將胰臟炎分成急性與慢性,在臨床上至今已被採用二十餘年,隨著醫學的進步及對疾病的進一步了解,新的版本在多國專家的共識下也陸續推出。胰臟炎仍然分成急性間質水腫性及壞死性兩類,以前常用的預後的評估(Ranson criteria)不再那麼被普遍用來決定患者死亡率的標準,而是以實際決定因素的存在與否為主。嚴重度的決定因素為短暫性或是持續性全身性器官衰竭,局部決定因素為胰臟或胰週邊壞死以及有無合併細菌感染。對於胰臟及胰臟周圍的液體或是壞死積聚,也因影像學檢查的進步而有明確的定義。臨床階段的早期和後期的變化及治療也都有共識,在感染性壞死的清創手術目前建議採取步驟性的治療,先使用微創手術治療,開腹清創則是最後步驟。

主题分类 醫藥衛生 > 基礎醫學
醫藥衛生 > 社會醫學
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被引用次数
  1. 蔡惠如,徐子婷,孫國紹,江怡瑩(2021)。照護一位糖尿病病人使用生酮飲食合併急性胰臟炎之護理經驗。志為護理-慈濟護理雜誌,20(4),78-87。