湖南省急性胰腺炎规范化诊疗流程

Standardized diagnosis and treatment protocol for acute pancreatitis in Hunan province

摘要:

急性胰腺炎（AP）是临床常见急腹症之一，其发病率在全球范围内存在显著地域差异。湖南省作为胆道疾病高发地区，AP发病率较高且呈逐年上升趋势，不同地区及不同层级医疗机构在诊疗水平上存在明显差异，影响患者预后。为规范AP的诊疗流程、提升区域整体救治水平，湖南省医学会普通外科专业委员会胰腺外科学组在充分讨论与共识基础上，结合国内外相关指南及最新研究进展，制定本规范化诊疗流程。该流程系统涵盖AP的诊断标准、病因分析、临床表现、实验室与影像学评估、严重程度分级、病程分期、并发症处理以及随访与预后管理等内容。通过推广本流程，期望提高AP的早期识别与诊断准确性，优化分层治疗策略，降低并发症发生率及病死率，尤其改善重症患者的临床结局。

Abstract:

Acute pancreatitis (AP) is a common acute abdominal condition with significant regional variations in incidence worldwide. Hunan province, characterized by a high prevalence of biliary diseases, has a relatively high and steadily increasing incidence of AP. Notably, substantial disparities in diagnostic and therapeutic capabilities exist across different regions and healthcare levels, which may adversely affect patient outcomes. To standardize the management of AP and improve the overall quality of care, the Pancreatic Surgery Working Group of the General Surgery Professional Committee of the Hunan Medical Association developed this standardized protocol based on expert consensus, incorporating current domestic and international guidelines as well as recent advances. The protocol systematically addresses diagnostic criteria, etiological evaluation, clinical manifestations, laboratory and imaging assessments, severity stratification, disease staging, complication management, and follow-up strategies. Implementation of this protocol is expected to enhance early recognition and diagnostic accuracy, optimize stratified treatment, and reduce complications and mortality, particularly improving outcomes in patients with severe AP.