A Patient with Severe Pancreatitis Successfully Treated by Continuous Peritoneal Dialysis

Takaya Tanaka, Kenji Suzuki, Nobuaki Matsuo, Fumihiro Nozu, K. Yamagami, N. Takeyama
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Abstract

This report describes a case of aged patient with severe acute pancreatitis successfully treated with peritoneal dialysis. Since no improvements were observed, showing amylase levels at 4, 800 IU/1 in the blood, 7, 700 IU/1 in the urine, and 6, 468 IU/1 in the ascites, respectively, though continuous intravenous administration of proteninase inhibitors was conducted, continuous peritoneal dialysis was performed for 10 days with the peritoneal perfusion fluid mixed with proteinase inhibitors and antibiotics, resulting in the improvements of parameters and disappearance of subjective symptoms. Thus, our present case demonstrates that peritoneal dialysis is very effective for intractable acute pancreatitis.
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持续腹膜透析治疗重症胰腺炎1例
本文报告一例高龄重症急性胰腺炎患者经腹膜透析成功治疗。由于未见改善,血液中淀粉酶水平为4800 IU/1,尿液中淀粉酶水平为7700 IU/1,腹水中淀粉酶水平为6468 IU/1,虽然持续静脉给予蛋白酶抑制剂,但腹腔灌注液中混合了蛋白酶抑制剂和抗生素,进行了持续10天的腹膜透析,使各项参数得到改善,主观症状消失。因此,我们目前的病例表明腹膜透析对难治性急性胰腺炎是非常有效的。
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