[The experience in the treatment of acute necrotic pancreatis].
24 case patients with acute necrotic pancreatis underwent dynamic CT examination at our hospital from 1990, of those patients suspected of pancreatic infection were performed direct bacteriologic sampling by CT-guided percutaneous aspiration. According to CT and bacterial results, we decided to whether operate or not. Meanwhile, multi-organ monitored and support therapy underwent. ANP mortalities reduced from 20.5% to 12.5%. We suggest that the dynamic CT and CT-guided aspiration is a safe, and rapid technique for distinguishing pancreatic infection from severe sterile pancreatitis, and may prove helpful in reducing the high morbidity and mortality associated with pancreatic infection.
Sun
J B
JB
Xuanwu Hospital Capital Institute of Medicine, Beijing.
D000208:Acute Disease; D001707:Biopsy, Needle; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010179:Pancreas / Q000473:pathology; D010195:Pancreatitis / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed