acute severe pancreatitis
Conditions
Interventions
Group A:Posterior peritoneal puncture with ultrasound intervention was performed within 7 days of onset.
Group B:4 weeks after the onset of the disease, retroperitoneal puncture and catheter drainage were performed under ultrasound intervention.
Sponsors
Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: Guidelines for the Diagnosis and Treatment of Acute Pancreatitis" and do not undergo surgical drainage or other drainage methods before admission. 2) According to Balthazar CT grade D, abdominal ultrasonography showed that the widest parts of peripancreatic, prerenal space, hepatorenal recess, paracolic groove, etc. were more than or equal to 1cm. 3) Meet the ethical requirements, patients voluntarily take the test and sign the informed consent. 4) Patients with high degree of cooperation and compliance; 5) Complete clinical data. 6), age 18-85 years old, male and female.
Exclusion criteria
Exclusion criteria: 1) Patients with organic diseases of heart, liver, kidney, lung and other important organs before the onset of pancreatitis; 2), traumatic pancreatitis; 3) pancreatitis secondary to endoscopic retrograde cholangiopancreatography or intra-abdominal surgery; 4), 1 week after the onset of the hospital admission or before admission has been surgical drainage or other drainage. 5) Patients with abnormal coagulation function that cannot be reversed; 6) Patients with tumor; 7) Restlessness, unable to cooperate with puncture treatment; 8) Patients with other infectious diseases within the past 1 month; 9), suffering from immune diseases. 10), pregnant and lactating women and those planning to become pregnant in the near future.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate of retroperitoneal catheterization;Clinical response rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Complication rate and time of improvement;Adverse event rate;Total length of stay ;Surgical intervention rate;ICU admission rate;Total hospital expenses; | — |
Countries
China
Contacts
Public ContactXiaofeng Zhang
Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine
Outcome results
None listed