因外伤并发腹腔内感染的重症急性胰腺炎：病例报告。

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

World Journal of Clinical Cases Pub Date : 2024-09-06 DOI:10.12998/wjcc.v12.i25.5821

Yu Zhang, Yun-Feng Cui

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引用次数: 0

摘要

背景：胰腺外伤（PT）在外伤中较为罕见，发病率较低，但仍可导致严重的感染性并发症，造成较高的死亡率。急性胰腺炎（AP）是胰腺外伤后常见的并发症，当合并器官功能障碍和败血症时，预后较差。病例摘要：我们报告了一名 25 岁的患者，腹部外伤导致包括胰腺在内的多器官损伤，急诊剖腹产术后继发坏死性胰腺炎，并合并腹腔内感染（IAI）。患者接受了经皮引流术、胰腺坏死组织清创术和腹腔感染灶清创术：我们报告了一例继发于外伤的严重 AP 和 IAI 病例。结论：我们报告了一例继发于外伤的严重 AP 和 IAI 病例，该患者在接受抗生素治疗和液体支持等保守治疗的同时接受了手术治疗，取得了较好的疗效。

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Severe acute pancreatitis complicated with intra-abdominal infection secondary to trauma: A case report.

Background: Pancreatic trauma (PT) is rare among traumatic injuries and has a low incidence, but it can still lead to severe infectious complications, resulting in a high mortality rate. Acute pancreatitis (AP) is a common complication after PT, and when combined with organ dysfunction and sepsis, it will result in a poorer prognosis.

Case summary: We report a 25-year-old patient with multiple organ injuries, including the pancreas, due to abdominal trauma, who developed necrotising pancreatitis secondary to emergency caesarean section, combined with intra-abdominal infection (IAI). The patient underwent performed percutaneous drainage, pancreatic necrotic tissue debridement, and abdominal infection foci debridement on the patient.

Conclusion: We report a case of severe AP and IAI secondary to trauma. This patient was managed by a combination of conservative treatment such as antibiotic therapy and fluid support with surgery, and a better outcome was obtained.

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来源期刊

World Journal of Clinical Cases Medicine-General Medicine

自引率

0.00%

发文量

3384

期刊介绍： The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.