Clinical study of the central venous catheter specialized for continuous drainage of exudates from severe acute pancreatitis (SAP) in patients with seroperitoneum
10.3760/cma.j.issn.1671-0282.2013.10.005
- VernacularTitle:中心静脉导管引流重症急性胰腺炎腹腔积液的临床研究
- Author:
Junying LI
;
Yun DONG
;
Xiaohong ZANG
;
Youdai CHEN
;
Jun ZHENG
;
Minghua SU
- Publication Type:Journal Article
- Keywords:
Central venous catheter;
Severe acut pancreatitis;
Seroperitoneum;
Drainage;
Intra-abdominal pressure;
Lactic acid;
Procalcitonin;
Multiple organ disfunction syndrome
- From:
Chinese Journal of Emergency Medicine
2013;22(10):1096-1099
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of the central venous catheter (CVC) specialized for drainage intervention in severe acute pancreatitis (SAP) patients.Methods Sixty-two severe acute pancreatitis patients with seroperitoneum were randomly (random number) assigned into two groups:the drainage group (n =31) and the control group (n =31).All patients were treated with conventional internal medicine therapy.Patients of drainage group were treated with continuous peritoneal drainage by using the central venous catheter.The intra-abdominal pressure (IAP),lactic acid (LAC),and procalcitonin (PCT) were detected before and 12 h,24 h,48 h,72 h,5 days after intraperitoneal drainage.The symptoms of abdomen pain,abdomen distention,resume of bowel movement and the rate of MODS were observed.Results All patients with drainage got catheter successfully inserted.Compared with the control group,the IAP,LAC and PCT decreased significantly in the patients of drainage group.And the duration of abdomen pain,abdomen distention and resume of bowel movement function in the drainage group were shorter and the rate of MODS was lower.Conclusions Application of CVC specialized for intraperitoneal drainage is a safe and effective method for the treatment of pancreatitis with seroperitoneum.It is worthwhile to be widely used in clinic.
