儿童闭合性胰腺损伤的诊治进展  

Recent advances in the diagnosis and treatment of blunt pancreatic injury in children

作　　者：张婷[1] 马鸣[1] Zhang Ting;Ma Ming(Department of Clinical Nutrition,Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院临床营养科,国家儿童健康与疾病临床医学研究中心,杭州310052

出　　处：《临床小儿外科杂志》2024年第1期93-97,共5页Journal of Clinical Pediatric Surgery

基　　金：义乌市科学技术局项目(20—3—259)

摘　　要：儿童闭合性胰腺损伤的发病率较低,且早期临床表现及实验室检查缺乏特异性,导致早期诊断胰腺损伤较为困难;延迟诊断可能加重患儿病情,延长住院时间和增加医疗费用。此外,对高级别闭合性胰腺损伤患儿采取保守治疗还是手术治疗,目前仍存在争议。本文对近年来儿童闭合性胰腺损伤的诊断、治疗和预后等研究进展进行综述。Early diagnosis of blunt pancreatic injury is rather difficult because of its low incidence in children.With sporadic reports,there are non-specific clinical manifestations and laboratory parameters in early injury phase.Delayed diagnosis may lead to disease worsening,prolonged hospitalization and higher expenses.Furthermore,it remains controversial as to whether or not adopting conservative treatment or operation for children with high-grade blunt pancreatic injury.Therefore this review focused upon the latest advances on the diagnosis,treatment and prognosis of blunt pancreatic injury in children.

关 键 词：胰腺损伤 儿童 治疗 

分 类 号：R725.7[医药卫生—儿科]