急性胰腺炎急诊诊断及治疗专家共识

2021-02-10 中华医学会急诊医学分会 中华急诊医学杂志, 2021,30(2)

急性胰腺炎(acute pancreatitis, AP)是一种胰腺急性炎症和组织学上腺泡细胞破坏为特征的疾病,是急诊科常见消化系统急症之一,常常由局部发展累及全身器官及系统而成为重症急性胰腺炎(se

中文标题:

急性胰腺炎急诊诊断及治疗专家共识

发布日期:

2021-02-10

简要介绍:

急性胰腺炎(acute pancreatitis, AP)是一种胰腺急性炎症和组织学上腺泡细胞破坏为特征的疾病,是急诊科常见消化系统急症之一,常常由局部发展累及全身器官及系统而成为重症急性胰腺炎(severe acute pancreatitis, SAP)。AP全世界每年的发病率为13~45/10万,中国20年间发病率由0.19%上升至0.71%,80%~85%的患者为轻症AP(mild acute pancreatitis, MAP),病程呈自限性,病死率小于1%~3%,但也有约20%的患者会发展为中度或重症胰腺炎,病死率可达13%~ 35%。因此在急诊科及时诊断或及早预测重症急性胰腺炎(severe acute pancreatitis, SAP)的发生发展,以及并发症的出现非常重要。近年来在急性胰腺炎治疗领域逐渐形成以非手术治疗为主的多学科综合救治模式。由于该病常常因急性腹痛为主要表现而首先就诊于急诊科,且患者的疾病诊断、鉴别诊断及早期治疗的整个过程均在急诊科完成,因此,急诊医师对AP早期诊断和及时规范化处理至关重要。

 

下载附件:

(因为版权问题,不支持下载)

评论区 (29)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2090262, encodeId=12e82090262cf, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d598345583, createdName=ms9000000937386612, createdTime=Sun Sep 25 11:25:26 CST 2022, time=2022-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1230021, encodeId=418b123002169, content=学习了。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e5d5183086, createdName=146fed47m76暂无昵称, createdTime=Fri Jul 01 21:45:50 CST 2022, time=2022-07-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1210464, encodeId=91e612104642f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10105725125, createdName=ms1000001656413688, createdTime=Tue Apr 12 08:49:42 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1210461, encodeId=36da121046125, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10105725125, createdName=ms1000001656413688, createdTime=Tue Apr 12 08:41:21 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1205278, encodeId=ef1412052e802, content=想学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d10f5599175, createdName=ms9000001205634136, createdTime=Wed Mar 23 17:20:31 CST 2022, time=2022-03-23, status=1, ipAttribution=)]
    2022-09-25 ms9000000937386612

    学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2090262, encodeId=12e82090262cf, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d598345583, createdName=ms9000000937386612, createdTime=Sun Sep 25 11:25:26 CST 2022, time=2022-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1230021, encodeId=418b123002169, content=学习了。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e5d5183086, createdName=146fed47m76暂无昵称, createdTime=Fri Jul 01 21:45:50 CST 2022, time=2022-07-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1210464, encodeId=91e612104642f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10105725125, createdName=ms1000001656413688, createdTime=Tue Apr 12 08:49:42 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1210461, encodeId=36da121046125, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10105725125, createdName=ms1000001656413688, createdTime=Tue Apr 12 08:41:21 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1205278, encodeId=ef1412052e802, content=想学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d10f5599175, createdName=ms9000001205634136, createdTime=Wed Mar 23 17:20:31 CST 2022, time=2022-03-23, status=1, ipAttribution=)]
    2022-07-01 146fed47m76暂无昵称

    学习了。

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2090262, encodeId=12e82090262cf, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d598345583, createdName=ms9000000937386612, createdTime=Sun Sep 25 11:25:26 CST 2022, time=2022-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1230021, encodeId=418b123002169, content=学习了。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e5d5183086, createdName=146fed47m76暂无昵称, createdTime=Fri Jul 01 21:45:50 CST 2022, time=2022-07-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1210464, encodeId=91e612104642f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10105725125, createdName=ms1000001656413688, createdTime=Tue Apr 12 08:49:42 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1210461, encodeId=36da121046125, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10105725125, createdName=ms1000001656413688, createdTime=Tue Apr 12 08:41:21 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1205278, encodeId=ef1412052e802, content=想学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d10f5599175, createdName=ms9000001205634136, createdTime=Wed Mar 23 17:20:31 CST 2022, time=2022-03-23, status=1, ipAttribution=)]
    2022-04-12 ms1000001656413688

    学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2090262, encodeId=12e82090262cf, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d598345583, createdName=ms9000000937386612, createdTime=Sun Sep 25 11:25:26 CST 2022, time=2022-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1230021, encodeId=418b123002169, content=学习了。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e5d5183086, createdName=146fed47m76暂无昵称, createdTime=Fri Jul 01 21:45:50 CST 2022, time=2022-07-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1210464, encodeId=91e612104642f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10105725125, createdName=ms1000001656413688, createdTime=Tue Apr 12 08:49:42 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1210461, encodeId=36da121046125, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10105725125, createdName=ms1000001656413688, createdTime=Tue Apr 12 08:41:21 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1205278, encodeId=ef1412052e802, content=想学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d10f5599175, createdName=ms9000001205634136, createdTime=Wed Mar 23 17:20:31 CST 2022, time=2022-03-23, status=1, ipAttribution=)]
    2022-04-12 ms1000001656413688

    学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2090262, encodeId=12e82090262cf, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d598345583, createdName=ms9000000937386612, createdTime=Sun Sep 25 11:25:26 CST 2022, time=2022-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1230021, encodeId=418b123002169, content=学习了。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e5d5183086, createdName=146fed47m76暂无昵称, createdTime=Fri Jul 01 21:45:50 CST 2022, time=2022-07-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1210464, encodeId=91e612104642f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10105725125, createdName=ms1000001656413688, createdTime=Tue Apr 12 08:49:42 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1210461, encodeId=36da121046125, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=10105725125, createdName=ms1000001656413688, createdTime=Tue Apr 12 08:41:21 CST 2022, time=2022-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1205278, encodeId=ef1412052e802, content=想学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d10f5599175, createdName=ms9000001205634136, createdTime=Wed Mar 23 17:20:31 CST 2022, time=2022-03-23, status=1, ipAttribution=)]
    2022-03-23 ms9000001205634136

    想学习

    0

拓展阅读

日本2015年急性胰腺炎治疗指南

日本儿科急诊学会(Japanese Society of Emergency Pediatrics) · 2016-04-21

JSHBPS指南:日本急性胰腺炎的管理(2015年)

日本肝胆胰腺外科学会(JSHBPS,Japanese Society of Hepato-Biliary-Pancreatic Surgery) · 2016-06-08

急性胰腺炎中西医结合诊疗共识意见(2017年)

中国中西医结合学会消化系统疾病专业委员会 · 2017-12-30

2018 AGA指南:急性胰腺炎的初期管理

美国胃肠病协会(AGA,American Gastroenterological Association) · 2018-02-03

中国急性胰腺炎诊治指南(2019·沈阳)

中华医学会消化病分会(胰腺疾病学组) · 2019-10-30