论文部分内容阅读
目的总结小儿急性胰腺炎(AP)的诊断和治疗经验。方法对本院1985～2003年收治的121例小儿 AP 病例的临床资料进行回顾性分析。结果 1985～1995年收治67例,其中46例经查血淀粉酶确诊,21例为手术探查确诊。共手术37例,12例死亡,均为重症急性胰腺炎术后患儿。1996～2003年共收治54例,49例经查血淀粉酶、B 超及 CT 确诊,5例为手术探查确诊。共手术15例,2例未手术重症急性胰腺炎患儿死亡。结论 CT 和 B 超是及早诊断小儿 AP 的主要手段,早期非手术治疗可以治愈大多数 AP 患儿。
Objective To summarize the experience of diagnosis and treatment of pediatric acute pancreatitis (AP). Methods The clinical data of 121 cases of pediatric AP treated in our hospital from 1985 to 2003 were retrospectively analyzed. Results From 1985 to 1995, 67 cases were treated, of which 46 cases were diagnosed by amylase and 21 cases were diagnosed by surgical exploration. A total of 37 cases of surgery, 12 patients died of severe acute pancreatitis in children. A total of 54 cases were treated in 1996-2003, 49 cases were diagnosed by blood amylase, B ultrasound and CT, and 5 cases were diagnosed by operation exploration. A total of 15 cases of surgery, 2 cases of children without surgical severe acute pancreatitis died. Conclusion CT and B ultrasonography are the main means of early diagnosis of children with AP, early non-surgical treatment can cure most AP children.