外伤性胰原性腹水  

Traumatic Pancreatogenic Ascites

作　　者：徐忠立 王颖勃[2] 王修己 马龙阁 

机构地区：[1]深圳市福田医院外科,518033 [2]河南医科大学第一附属医院外科 [3]郑州市第四人民医院外科

出　　处：《天津医药》1992年第3期160-163,共4页Tianjin Medical Journal

摘　　要：外伤性胰原性腹水临床少见。我们于1971～1989年在河南医大一附院及郑州市四院共收治外伤性胰原性腹水19例,主要表现为慢性腹围增加、大量腹水聚积、体重明显减轻和腹痛。体检常呈慢性病容、消瘦、大量顽固性腹水或胸水。腹水或胸水中淀粉酶和白蛋白含量很高是其特征,这显著区别于结核、恶性肿瘤或肝硬化等所致的腹水。本病诊断主要依据外伤史、Cameron三联征和ERP或B超。我们将本病分为三型,并提出相应的治疗原则和手术治疗方法的选择。本病手术疗效佳,非手术预后劣。From 1971 to 1989, 19 patients with traumatic pancreatic ascties underwent surgical treatment in this hospital. There were 16 men and 3 women ranging in age from 12 to 32 years with a mean of 24 years. The patients presented with a chronic illness characterized by increasing abdominal girth, weight loss and abdominal pain. On examination, the patients usually appeared chronically ill, emaciation, accumulation of massive amounts of ascitic fluid or pleural effusion. Pancreatic ascites is a distinct clinical antity with features of elevated amylase and protein levals in the ascitic fluid. This should be distinguished from the ascites of liver cirrhosis, tuberculosis or metastatic carcinoma. The diagnosis of traumatic pancreatic ascites obviously depends on the traumatic history, Cameron's triad (serum amylase elevated, ascitic fluid amylase and protein elevated),and endoscopic retrograde pancreatography(ERP) or B-mode ultrasonography. Traumatic pancreatic ascites have been classified into three categoies. Eighteen of the 19 patients underwent surgical operations,and the prognosis was good, with no patients having had a recurrence of ascites.One non-operated patient died 3.5 months after trauma.

关 键 词：胰外伤 腹腔积液 胰原性 腹水 

分 类 号：R657.5[医药卫生—外科学]