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中华医学超声杂志(电子版) ›› 2024, Vol. 21 ›› Issue (10) : 929 -936. doi: 10.3877/cma.j.issn.1672-6448.2024.10.001

专家共识

重症急性胰腺炎超声引导下经皮置管引流专家共识(2024版)
中国医师协会介入医师分会超声介入专委会, 中国医药教育协会重症超声分会   
  • 收稿日期:2024-06-11 出版日期:2024-10-01

Expert consensus on ultrasound-guided percutaneous catheter drainage for severe acute pancreatitis (2024 edition)

Ultrasound Special Committee of Interventional Physician Branch of Chinese Medical Doctor Association Interventional, Care Ultrasound Branch of Chinese Medical Education Association Critical   

  • Received:2024-06-11 Published:2024-10-01
引用本文:

中国医师协会介入医师分会超声介入专委会, 中国医药教育协会重症超声分会. 重症急性胰腺炎超声引导下经皮置管引流专家共识(2024版)[J]. 中华医学超声杂志(电子版), 2024, 21(10): 929-936.

Ultrasound Special Committee of Interventional Physician Branch of Chinese Medical Doctor Association Interventional, Care Ultrasound Branch of Chinese Medical Education Association Critical. Expert consensus on ultrasound-guided percutaneous catheter drainage for severe acute pancreatitis (2024 edition)[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(10): 929-936.

图1 重症急性胰腺炎置管引流推荐治疗方案
图2 超声引导下经皮穿刺置管引流术一步法使用器械 注:①局部麻醉用注射器;②带有固定线的多侧孔猪尾型引流管(内含穿刺针芯);③尖皮刀
图3 超声引导下经皮穿刺置管引流术两步法使用器械 注:①导丝;②扩张管;③PTC针;④带有固定线的多侧孔猪尾型引流管;⑤尖皮刀;⑥局部麻醉用注射器
图4 重症胰腺炎积液体表穿刺点示意图 注:①小网膜囊;②肾旁前间隙;③腹腔;④盆腔
图5 引流管外固定非缝针固定法。图中a示导管固定装置交叉固定导管;图b,c示敷贴及透明贴再次固定
图6 引流管外固定缝针固定法
图7 标签标记置管时间及深度
图8 经皮置管引流术后管理策略图
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