胆源性胰腺炎的新认识  

Current Concept on Acute Biliary Pancreatitis

作　　者：陈九如[1] 赵殿辉[1] 徐津磊[1] 

机构地区：[1]上海市闸北区中心医院放射科,200070

出　　处：《中国医学计算机成像杂志》2002年第4期228-237,共10页Chinese Computed Medical Imaging

摘　　要：基于有关急性胰腺炎的发病机制和病理生理的最新研究和本院360例胆源性胰腺炎的临床实践 ,胆源性胰腺炎患者存在着某些明显不同于其他病因的胰腺炎特点 :临床轻型病例较多(75.0 %) ;并发症(感染、出血、脓肿和假性囊肿)和后遗症少(15.0 %) ;大多数伴发胆系结石、泥沙结石(53.6 %)和(或)炎症(21.1 %) ;内镜技术对本病病因诊断和治疗(去石、引流、减压)的有效性 ;可与急性胆囊炎同时性或交替性发病 ;复发和(或)反复(慢性胰腺炎急性恶化)发作者多。熟悉这些特征 ,有利于对患者作出正确和及时的临床处理。Based on recent investigation of pathogenesis and pathophysiology as well as ourselves clinical experience from 360 cases of biliary pancreatitis,it is interesting to find that some characteristics,which was obviously different from other causes of pancreatitis were rationally recognized.That is:majority of cases with milder and self-limited clinical course(75.0%);less development of complications(infection,hemorrhage,pseudocysts,abscess) and sequelae(15.0%);most often associated with stone,sludge,or microlithiasis within biliary system(53.6%) and(or) inflammatory diseases(21.1%);validity of endoscopic modalities(ERCP,EPT) on diagnosis and therapy(stone extraction,depression,drainage);simultaneous or alternative episodes with acute cholecystitis;relapsed and(or) repeated attacks(acute exacerbation of chronic pancreatitis).Familiarity with these features profoundly,it will be beneficial to patients for clinical management correctly and promptly.

关 键 词：胆源性胰腺炎 影像学 发病机制 临床特征 诊断 

分 类 号：R657.51[医药卫生—外科学]