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Acute Pancreatitis
1[Clinical study on the treatment of severe acute
pancreatitis by integrated traditional Chinese medicine and Western medicine]
[Article in
Chinese]
Liu XB, Jiang JM,
Huang ZW, Tian BL, Hu WM, Xia Q, Chen GY, Li QS, Yuan CX, Luo CX, Yan LN, Zhang
ZD.
Department of
Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
OBJECTIVE: To sum
up clinical experiences and formulate a new treatment program for the effective
managment of severe acute pancreatitis(SAP) by integrated TCM and western
medicine.
METHODS: The therapeutic regimens and end results of 1376 cases of
SAP in three periods were reviewed and analyzed. Period I (1980-1990) was
characterized by early surgical intervention supplemented with integrated
traditional Chinese and western medical therapy, period II (1991-1993) by
integrated traditional Chinese and western medical therapy supplemented with
surgery for early complications, and period III (1994-2003) by integrated
traditional Chinese and western medical therapy supplemented with surgery for
local infectious complications at a late stage in the course of disease.
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RESULTS: With use of integrated traditional Chinese and western medical therapy
in the treatment of SAP, the proportion of surgical operation and the
case-fatality rate kept declining in the three consecutive periods, the
proportions of operation being 77.59%, 54.54% and 19.38%, and the case-fatality
rates being 40.52%, 17.17% and 10.77%, respectively.
CONCLUSION: Integrated TCM
and western medicine is effective for most SAP cases, and surgery is indicated
mainly for late complications such as necrotizing infection. Early surgery
should be handled with more circumspection and strictness in most of the
patients with SAP.
PMID: 15071917 [PubMed - indexed for MEDLINE]
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