论文部分内容阅读
目的探讨儿童急性胰腺炎(AP)的病因、诊断及其个体化治疗方案。方法对6例轻型AP患儿及2例重症AP患儿的临床资料进行回顾性分析,包括病因、临床表现、实验室及影像学检查,并对其采取个体化治疗。结果6例轻型AP患儿中胆囊结石3例、胆道蛔虫2例、胆管囊肿1例,除1例胆道蛔虫患儿采用非手术治疗外,余均采用手术治疗,均治愈;2例重症AP患儿中1例胆囊结石患儿先行保守治疗,后行手术治疗,另1例高脂血症加暴饮暴食者采用非手术治疗,均治愈。结论儿童AP的病因以胆道疾病为主,轻型AP预后良好。儿童AP采取个体化治疗至关重要。
Objective To investigate the etiology, diagnosis and individual treatment of childhood acute pancreatitis (AP). Methods The clinical data of 6 cases of children with mild AP and 2 cases of severe AP were analyzed retrospectively, including etiology, clinical manifestations, laboratory and radiological examination and individualized treatment. Results In 6 children with mild AP, gallstones were found in 3 cases, biliary ascariasis in 2 cases and bile duct cyst in 1 case. All cases except 1 case of biliary ascariasis were surgically treated and were cured. Two cases of severe AP Children in 1 case of gallbladder stones in children with conservative treatment, followed by surgical treatment, another case of hyperlipidemia and overeating were non-surgical treatment were cured. Conclusion The etiology of children with biliary tract disease-based, light-induced AP with good prognosis. Individualized treatment of children with AP is crucial.