坏死性胰腺炎并发胰胸膜瘘(附临床一例)

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
V. Desyateryk, O. Kotov, S. Mikhno, Ye.O. Okhotnik, M.P. Krasnov
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引用次数: 0

摘要

急性胰腺炎是一种伴有全身炎症反应综合征和多系统功能障碍的疾病。急性胰腺炎通常会导致各种器官的损伤,包括:胸膜、纵隔、心血管结构。这些并发症给诊断和治疗病人带来困难。本文就急性胰腺炎的并发症进行综述,重点介绍胰胸膜瘘的诊断和治疗。胰胸膜瘘是急性和慢性胰腺炎中由于外伤性或医源性胰管损伤而引起的一种相当罕见的并发症。目前,使用ocreatid联合胰管支架的保守治疗在31-45%的病例中可以实现瘘的关闭,手术干预在80-90%的病例中可以实现瘘的关闭。临床病例提出在这篇文章证明成功的治疗这一困难的并发症的急性胰腺炎。作者强调这种情况需要及时诊断,因为延迟适当的治疗会使胰胸瘘患者的康复预后恶化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pancreatopleural fistula as a complication of necrotizing pancreatitis (clinical case)
Acute pancreatitis is a disease that is accompanied by systemic inflammatory response syndrome and polysystemic dysfunction. Often acute pancreatitis leads to damage to various organs, including: pleura, mediastinum, cardiovascular structures. These complications cause difficulties in diagnosing and treating patients. In this review, we discuss the complications of acute pancreatitis, focusing on the diagnosis and treatment of pancreatopleural fistulas. Pancreatopleural fistula is a rather rare complication observed in patients with both acute and chronic pancreatitis due to traumatic or iatrogenic damage to the pancreatic duct. Conservative treatment with ocreatid combined with stenting of the pancreatic duct currently makes it possible to achieve closure of the fistula in 31-45% of cases, surgical intervention – in 80-90% of cases. The clinical case presented in this article demonstrates the successful treatment of this difficult complication of acute pancreatitis. The authors emphasized the need for timely diagnosis of this condition, as delaying adequate treatment can worsen the prognosis of recovery of patients with pancreatopleural fistulae.
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来源期刊
Medical Perspectives-Medicni Perspektivi
Medical Perspectives-Medicni Perspektivi MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
85
审稿时长
9 weeks
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