小儿急性胰腺炎43例临床分析  

Ginical Analysis of Acute Pancreatitis in 43 Children

作　　者：黄海[1] 何婉儿[1] 梁文青[1] 林颂华[1] 潘瑞芳[1] 区文玑[1] 龚四堂[1] 

机构地区：[1]广东省广州市儿童医院消化内科,广东广州510120

出　　处：《中国临床医学》2006年第5期791-793,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨小儿胰腺炎的临床特征,以提高该病的诊治水平。方法:对1999年-2004年3月收治入院的43例急性胰腺炎患儿的临床资料进行回顾分析。结果:小儿急性胰腺炎临床表现呕吐72．1％(31／43)、腹痛65．1％(28／43);血淀粉酶升高81．4％(35／43),尿淀粉酶升高100％;腹部B超显像率为53．5％(23／43),单纯胰头肿大30．2％(13／43);腹部CT显像率达83．3％(30／36)。发病诱因中胆源性疾病30．2％(13／43),继发于腮腺炎等病毒感染性疾病23．3％(10／43),继发于胃十二指肠痰病的胰腺炎25．6％(11／43)。轻型胰腺炎及重症急性胰腺炎两种不同临床类型患儿的多器官损害率分别为18．4％(7／38)和100％(5／5)。结论:小儿急性胰腺炎的病因以胆源性疾病、病毒感染及胃十二指肠疾病为主,呕吐和腹痛是小儿急性胰腺炎主要临床症状,与成人患者有不同性,早期诊断及评估病情是治疗的关键。Objective：To evaluate the diversity of clinical manifestation of pancreatitis in children and improve the level of diagnosis and therapy. Methods： Retrospective analysis of the data was performed on patients diagnosed as acute pancreatitis at Guangzhou Children ,s Hospital between 1999 and march in 2004. Results.. Vomiting（72. 1%） and abdominal pain （65. 1%） were the major symptoms of pancreatitis in children, associated with blood amylase （81.4%） and uric amylase（ 100%） increased. Abdominal ultrosound positive rates was 53.5%, always only showed the head of pancreas edema （30. 2%）;abdominal CT scan can manifest the lesion around pancreas （83.3%） was redound to diagnosis the severe acute pancreatitis. The cholecyst disease was the major cause of pancreatitis in children（30.2% ） ,and also secondary affected by the virus infection（23.3%）. The mutiple organ injury rate was significantly different between acute pancreatitis （18.4%）and severe acute pancreatitis （100%）. Conclusion：The pancreatitis in children has different characteristic in pathogeny and clinic manifestation,early diagnosis and evaluate the state of illness is the key of therapy.

关 键 词：急性胰腺炎 早期诊断 小儿 临床分析 

分 类 号：R576[医药卫生—消化系统]