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中华重症医学电子杂志 ›› 2026, Vol. 12 ›› Issue (02) : 134 -140. doi: 10.3877/cma.j.issn.2096-1537.2026.02.007

专题笔谈

“急救理念”在重症急性胰腺炎救治中的作用和地位
卢毅, 王国兴, 谢苗荣()   
  1. 100050 北京,首都医科大学附属北京友谊医院急诊医学科
  • 收稿日期:2025-07-03 出版日期:2026-05-28
  • 通信作者: 谢苗荣
  • 基金资助:
    国家重点专科项目(急诊医学)建设项目(国卫办医政函[2023]213号)

Role of the "First-aid Philosophy" in the management of severe acute pancreatitis

Yi Lu, Guoxing Wang, Miaorong Xie()   

  1. Department of Emergency Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2025-07-03 Published:2026-05-28
  • Corresponding author: Miaorong Xie
引用本文:

卢毅, 王国兴, 谢苗荣. “急救理念”在重症急性胰腺炎救治中的作用和地位[J/OL]. 中华重症医学电子杂志, 2026, 12(02): 134-140.

Yi Lu, Guoxing Wang, Miaorong Xie. Role of the "First-aid Philosophy" in the management of severe acute pancreatitis[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2026, 12(02): 134-140.

重症急性胰腺炎(SAP)起病急骤、进展迅速、病死率高,其救治具有显著的时间依赖性。本文旨在探讨“早、准、狠”的急救理念在SAP临床救治中的应用与意义。研究内容聚焦于该理念如何通过时间窗目标化管理(如早期液体复苏、营养支持)、损伤控制治疗策略(如避免过早过度手术干预)、对因与支持治疗协同以及全程多学科协作等关键环节,系统优化SAP的救治流程。将这种主动、积极的急救思维贯穿始终,能够有效阻断SAP病情的恶性进展,对于提高救治成功率、改善患者预后具有重要的临床价值。

Severe acute pancreatitis (SAP) is characterized by sudden onset, rapid progression, and high mortality, demonstrating marked time-dependence in its treatment. This article explores the application and significance of the "First-aid Philosophy" emphasizing "Early, Accurate, and Decisive" in the management of SAP. This article focuses on how this concept systematically optimizes SAP treatments [time-window-based goal management (e.g., early fluid resuscitation within 24 hours, early enteral nutrition), damage control strategies (e.g., avoiding early overly invasive interventions), synergy between causative and supportive treatments, and consistent multi-disciplinary therapy (MDT)] throughout patients' care. The core significance lies in integrating this proactive and decisive emergency mindset into practice to effectively block the progression of SAP, and ultimately to improve patients' prognosis.

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