急性胰腺炎为临床上常见的急腹症之一,其胰外表现近年来引起医学界的广泛注意和重视,本文就有关表现简述如下。脑急性胰腺炎伴神经精神症状者约10～25%,1941年Rothermich等报道,急性胰腺炎可出现谵妄或意识模糊症状为主的脑症状称“胰性脑病”。这种脑症状在胰腺炎症状发生后数日出现,病人可表现有头痛、烦躁、谵妄、意识模糊、忧郁、恐惧、幻觉、定向力障碍、抽搦、昏睡或昏迷等一系列各种弥漫性、局限性神经精神症状,可伴有广泛性脑电图异常。查体可有脑膜刺激征及视神经乳头水肿,脑脊液压力常有升高。其原因可能是由于胰酶,特别是胰蛋白酶和磷 Acute pancreatitis is one of the most common acute abdomen in clinical practice. Its extra pancreatic appearance has drawn widespread attention and attention from the medical community in recent years. Acute pancreatitis with neuropsychiatric symptoms of about 10 to 25%, 1941 Rothermich other reports, acute pancreatitis may occur delirium or confusion symptoms based brain symptoms called “pancreatic encephalopathy.” This kind of brain symptom appears a few days after symptoms of pancreatitis, and the patient may present a series of various diffuses such as headache, irritability, delirium, confusion, depression, fear, hallucinations, disorientation, pumping, drowsiness or coma , Localized neuropsychiatric symptoms, may be associated with extensive EEG abnormalities. Physical examination may have meningeal irritation and optic disc edema, cerebrospinal fluid pressure often increased. The reason may be due to trypsin, especially trypsin and phosphorus