应重视创伤性胰腺炎的治疗  

Attention should be paid to the treatment of traumatic pancreatitis

作　　者：徐之超[1] 赵刚[2] 杜俊凯[1] Xu Zhichao;Zhao Gang;Du Junkai(Emergency Department of the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Emergency Department of Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]西安交通大学第一附属医院急诊科,西安710061 [2]华中科技大学同济医学院附属协和医院急诊科,武汉430022

出　　处：《中华医学杂志》2021年第30期2360-2362,共3页National Medical Journal of China

摘　　要：创伤性胰腺炎(TP)是继发于胰腺损伤的一种急性非感染性炎症。TP在胰腺损伤后可因镇痛剂或其他器官损伤掩盖症状,早期诊断困难,易漏诊或误诊,后期易继发感染性胰腺坏死(IPN)。目前,TP治疗提倡阶梯式治疗策略,以微创外科为指导,兼顾多发伤救治、炎症控制、感染坏死清除等原则,贯穿胰腺损伤及IPN处理这两个重要环节。Traumatic pancreatitis(TP)is an acute non-infectious inflammation secondary to pancreatic injury.TP can be masked by analgesia or other organ damage after pancreatic injury.So it is difficult to diagnosis in the early stage,easy to missed and misdiagnosis,subsequently prone to infection of pancreatic necrosis(IPN).At present,the treatment of TP is advocated as a step-by-step treatment strategy,which takes minimally invasive surgery as the guidance and takes into account of the principles of multiple injury treatment,inflammation control,infection and necrosis clearance,which runs through the two important links of pancreatic injury and IPN management.

关 键 词：胰腺炎 创伤性胰腺炎 感染胰腺坏死 

分 类 号：R576[医药卫生—消化系统]