Guidelines for integrated traditional Chinese and Western medicine diagnosis and treatment of severe acute pancreatitis 2014 Tianjin

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1 327. R B Guidelines for integrated traditional Chinese and Western medicine diagnosis and treatment of severe acute pancreatitis 2014Tianjin General Surgery CommitteeChina Society of Integrated Traditional Chinese and Western Medicine Key words pancreatitis integrated TCM wm diagnosis guidelines 1 1 SAP A 2 Ⅰ Ⅰ SIRS MODS 20% ~ 30% AP B 1 Ⅰ Ⅱ AP C Ⅱ Ⅲ 2007 D 1 Ⅲ Ⅳ AP 1 7 AP E Ⅳ Ⅴ Ⅴ AP 3-4 SAP SAP 2 SAP AP AP ISF Delphi A ~ E A 1 2 SAP SAP SAP AP 3 2 SAP 3 AP 1 2 > ~ 72 h CT MRI SAP SAP 2. 2 SAP AP SAP Ranson 3 3 APACHE II 8 8 doi /j. issn Balthazar CT Ⅱ Ⅱ BAI04A00 AP AP nctsui@ 126. com MAP MSAP SAP

2 J Clin HepatolVol.31 No.3Mar h MAP SAP 2 ~ 4 48 h MSAP SAP 2 6 CT 2 AP 2013 AP 5 MAP 5. 1 MSAP < 48 h ICU SAP SAP > 48 h ICU ICU 2. 3 AP TG ICU >1000 mg/dl > 40 SAP 8 AP <30 7 APACHE II SAP > 55 ARDS BMI > 30 kg /m SIRS 2 > 90 /min 2 ~ 3 1 ~ 2 > 20 /min PaCO 2 < 32 mm Hg > 38 < 36 WBC > /L < /L > 10% ~ BUN > 20 mg /dl 3 BUN HCT > 44 % HCT BMI PaCO 2 WBC BUN HCT CT B 50 Hu SAP 50 ~150 Hu CT FNA 4. 3 AP 9 AP 250 ~ 500 ml 4. 4 AP 12 ~ 24 h

3 329. AP 6 h 24 ~ 48 h BUN AP 12 ~ 24 h B A Oddi SAP MODS SAP 9 SAP 3 SAP D MODS SAP 11 8 SAP 10 SAP 72 h SAP C 8 H SAP AP 9 4 SAP 72 h D 24 h ERCP + EST + ENBD H2 E ERCP SAP MRCP EUS ERCP E1 SAP 9 NSAID ERCP 5 SAP D AP AP AP SAP 7 7 ~ 10 d 9 AP 24 h ERCP + EST + ENBD AP 1 CT FNA 2 CT FNA A SAP 12% ~ 38% AP TG TG 0. 5 ~ 1. 7 mmol /L TG < mmol /L APTG > mmol /L AP 6 SAP SAP TG mmol /L B 90 /min SAP /min SAP IPN TG 12 SAP 10 SAP TG 5.65 mmol/l C AP AP ARDS

4 J Clin HepatolVol.31 No.3Mar ml 2 ~ 4 /d CT CT ml 400 ml 3 ~4 / CT FNA /d 1 ~2 /d 11 SAP C SAP D SAP B /CT SIRS > 4 ACS C SAP ACS SAP ACSCT > 4 1 > B 2 3 C CT 3 Ⅰ CT / < 0. 5 Ⅱ CT / 13 > 0. 8 Ⅲ 14 SAP E CT / 5. 4 SAP Ⅰ 80% 3 ~ 6 25 cm H 2 O 24 ~ 48 h SAP 12 SAP ACS 80% < 6 cm D > 6 cm CARS MODS CT

5 J SAP 9Pancreas Study GroupChinese Society of GastroenterologyChi- Medical Association. Chinese guidelines for the management of nese SAP acute pancreatitis Draft J. Med J Chin PLA in Chinese. J HEINRICH SSCH AFER MROUSSON Vet al. Evidence - based treatment of acute pancreatitis a look at established paradigms J. Ann Surg ZHANG ZDYAN LNLIU XB. Acute pancreatitism. Beijing People's Medical Publishing House in Chinese 15 SAP. M B 12MAO EQTANG YQZHANG SD. Discussion of normative therapeutic strategy for hyperlipidemic severe acute pancreatitis J. Chin J Pract Surg in Chinese. 1General Surgery CommitteeChina Society of Integrated Traditional J Chinese and Western Medicine. Practical guidelines for management 13WU XZ. Practice of abdominal surgerym. Tianjin Tianjin Science and Technology Publishing House in of severe acute pancreatitis by integrated traditional Chinese and western medicine protocol specifications J. Chin J Surg Integr Chinese Tradit West Med in Chinese. M J Group of Pancreas SurgeryChinese Society of SurgeryChinese Medical Association. Draft criteria for diagnosis and treatment of 2No authors listed. Guidelines for the management of severe sepsis severe acute pancreatitis J. Mod Pract Med and septic shock. The International Sepsis ForumJ. Intensive in Chinese Care Med Suppl 1 s1 - s XIA QHUANG ZWJIANG JMet al. Yi - Huo - Qing - Xia J method as the main therapy in integrated traditional Chinese and western medicine on severe acute pancreatitis a report of cases J. nal compartment syndrome in patients with severe acute pancreatitis 15TAO JWANG CYXU YQ et al. Diagnosis and treatment of abdomi- Chin J Integr Tradit Chin West Med Intensive Crit Care J. Chin J Gen Surg in Chinese in Chinese.. J J SUN BWANG GMENG QHet al. The emergency management 4CUI NQQI QHKONG Det al. Treatment of organic dysfunction of severe acute pancreatitis complicated abdominal compartment syndrome J. J Hepatobiliary Surg in Chi- in acute severe pancreatitis with integrated traditional Chinese and western medicine J. Chin J Surg Integr Tradit West Med1999 nese in Chinese.. J J MIAO YJIANG KR. Treatment of postoperative pancreatic fistula in patients with severe acute pancreatitisj. Chin J Pract Surg 5Group of PancreasChinese Society of SurgeryChinese Medical Association. Clinical diagnosis and classification standard of acute pancrea-. J. titis Second version in 1996 J. Chin J Surg in Chinese in Chinese 18HUANG ZQLIN YZZHU XGet al. Theory and practice of abdominal surgerym. Beijing Science Press J in Chinese M. 6BANKS PABOLLEN TLDervenis Cet al. Classification of a cute pancreatitis revision of Atlanta classification and definitions by international consensus J. Gut General Surgery CommitteeChina Society of Integrated 7TENNER SBAILLIE JDEWITT Jet al. American College of Traditional Chinese and Western Medicine. Guidelines for integrated Gastroenterology guideline management of acute pancreatitisj. traditional Chinese and Western medicine diagnosis and treatment of severe acute pancreatitis 2014Tianjin J. J Clin Hepatol TUO HFJI JY. Current status of incidence and management of a in Chinese Am J Gastroenterol cute pancreatitis in JapanJ. Chin J Pancreatol in Chinese J