老年急性胰腺炎误诊为肺部感染一例  

A Case of Senile Acute Pancreatitis Misdiagnosed as Pulmonary Infection

作　　者：张鹏[1] 苗玉荣[1] 易少波[1] 傅小一[1] 张子雯[1] ZHANG Peng;MIAO Yu-rong;YI Shao-bo;FU Xiao-yi;ZHANG Zi-wen(Medical College of Yichun University,Yichun 336000,China)

机构地区：[1]宜春学院医学院

出　　处：《宜春学院学报》2019年第6期66-68,共3页Journal of Yichun University

摘　　要：目的:分析老年急性胰腺炎特异类型,探讨其发病特点。方法:对1例老年急性水肿坏死性胰腺炎导致死亡的患者临床及尸检资料进行综合分析。结果:本例61岁,因上咳嗽伴气急、胸闷5小时急诊求治,根据临床表现、实验室检查及冠心病史诊断为肺部感染;心功能衰竭;高血压;糖尿病,呋塞米静脉注射,症状缓解。后予以布地奈德1mg雾化吸入,症状加重,于次日凌晨死亡。病理解剖证实死因为急性胰腺炎。结论:急性胰腺炎病机制复杂,临床症状多变,以咳嗽、胸闷为首发表现的老年患者可无消化道症状,病程进展快,极易与心肌梗死、心绞痛、肺炎等相混淆,应提高警惕。Objective:To analyze the specific types of acute pancreatitis in senile patients and to explore its pathogenesis.Methods:The clinical and autopsy data of 1 patient with acute edema necrotic pancreatitis were analyzed.Results:The patient is 61 years old,and was diagnosed with pulmonary infection according to clinical manifestation,laboratory examination and history of coronary heart disease.Heart failure;High blood pressure.Diabetes mellitus,furosemide intravenous injection,symptom relief.After that,it was inhaled with 1mg of budesonide,aggravated with symptoms,and died in the early hours of the next morning.The pathology confirmed the death due to acute pancreatitis.Conclusion:The pathogenesis of acute pancreatitis complicated,clinical symptoms,cough,chest tightness as the starting performance of elderly patients with no digestive tract symptoms,quick progression,easily confused with myocardial infarction,angina pectoris,pneumonia,etc,should be vigilant.

关 键 词：胰腺炎 急性 误诊 肺炎 

分 类 号：R576.1[医药卫生—消化系统]