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夏庆, 邓力珲. 中西医结合治疗重症急性胰腺炎的几个热点问题[J]. koko体育app 学报(医学版), 2013, 44(6): 962-965.
引用本文: 夏庆, 邓力珲. 中西医医结合在一起诊治病情比较重的时候猛然胰腺炎的几块热点问題问題[J]. 河北大学考研学报(分子生物学版), 2013, 44(6): 962-965.
XIA Qing, DENG Li-hui. Hot Issues on the Treatment of Severe Acute Pancreatitis by Integrated Traditional Chinese and Western Medicine[J]. Journal of Sichuan University (Medical Sciences), 2013, 44(6): 962-965.
Citation: XIA Qing, DENG Li-hui. Hot Issues on the Treatment of Severe Acute Pancreatitis by Integrated Traditional Chinese and Western Medicine[J]. Journal of Sichuan University (Medical Sciences), 2013, 44(6): 962-965.

中西医结合治疗重症急性胰腺炎的几个热点问题

Hot Issues on the Treatment of Severe Acute Pancreatitis by Integrated Traditional Chinese and Western Medicine

  • 摘要: 重症急性胰腺炎(SAP)是公认的危重难治性疾病。病死率高达36%~50%。近年来,中西医结合治疗重症急性胰腺(SAP)取得了显著进展,但一些制约疗效进一步提高的难点成为当前关注的热点问题。其主要体现在中西医结合治疗SAP的确切疗效未确立和治疗方案的不统一,对SAP病情的评估和严重程度的预测尚无简便易行的指标,一些新技术和具有争议的治疗方法尚缺乏高质量的循证医学证据,中医药治疗SAP的机制尚未阐明。因此,现阶段从事中西医结合治疗SAP的方向应是中西医有机结合,加强多学科合作,统一认识,推行中医药临床路径;继续深入研究早期评估和预测病情严重程度的指标,提高诊疗水平;联合开展基础和临床方面研究,探明中医药治疗治疗SAP的机制,寻找最佳的治疗方案,改善预后。  
    Abstract: Severe acute pancreatitis (SAP) is recognized as c ritical refractory disease. The case fatality rate of SAP is as high as 36%-50%. Although signif icant progress has been achieved on the treatment of severe acute pancreatitis ( SAP) by Integrated Traditional Chinese Medicine (TCM) and Western Medicine (WM), there still exist some difficulties hindering the further improvement of therap eutic efficacy. The hot issues includes: unconfirmative curative effects and div erse treatment principles, complicated predictive scoring systems and inaccurate markers for the severity stratification, unproved new therapeutic tools and con troversial methods waiting more high qualified evidence, unclarified mechanism o f Integrated TCM and WM. In order to overcome the difficulties, we aim to launch the clinical pathway of Integrated TCM and WM, to strengthen the unity of multi disciplinary cooperation. We also need to keep the efforts on screening the mark ers for early evaluation and prediction of disease severity, improving the diagn osis and treatment, exploring the mechanism of Traditional Chinese Medicine in t reating SAP with more high quality basic and clinical research. Based on these e fforts, we could provide better treatments and prognosis for SAP patients.  
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