Diagnosis and treatment of infected pancreatic necrosis with abdominal hemorrhage
10.7659/j.issn.1005-6947.2024.09.005
- VernacularTitle:胰腺坏死组织感染合并腹腔出血的诊治
- Author:
Kun GAO
1
;
Zhihui TONG
;
Weiqin LI
Author Information
1. 中国人民解放军东部战区总医院重症医学科,重症胰腺炎治疗中心,江苏南京 210002
- Keywords:
Pancreatitis,Acute Necrotizing;
Focal Infection;
Hemorrhage;
Angiography,Digital Subtraction;
Damage Control
- From:
Chinese Journal of General Surgery
2024;33(9):1392-1397
- CountryChina
- Language:Chinese
-
Abstract:
Abdominal hemorrhage is one of the most severe complications of infected pancreatic necrosis(IPN).Common causes of bleeding include arterial,venous,coagulopathy-related,and iatrogenic factors.The preferred treatment for IPN complicated by abdominal bleeding is digital subtraction angiography(DSA)combined with transcatheter arterial embolization.For patients with repeated negative DSA results,ineffective conservative treatment,or acute bleeding with extremely unstable vital signs,emergency surgery is required.The surgery should follow the principles of damage control.Preventing bleeding in IPN patients is a top priority for future work.This article,based on the diagnostic and treatment experience of the authors'team as well as relevant research findings,shares thoughts and discusses with fellow professionals regarding the diagnosis and treatment of IPN with abdominal hemorrhage.
