Uchikov A P, Shipkov H D, Markova D I
Higher Medical Institute, Clinic of Thoracic and Abdominal Surgery, 15A Vassil Aprilov St., 4000 Plovdiv, Bulgaria.
Folia Med (Plovdiv). 2000;42(3):34-6.
Acute pancreatitis ranks third among the inflammatory diseases causing acute abdomen; it accounts for about 2% of all cases of acute surgical abdomen. The clinical course of the disease is characterised by a number of local and systemic complications, the most frequent being respiratory disorders.
In the present study we review our experience with the management of acute pancreatitis in 75 patients complicated by pleural effusions in some of them. The patients were allocated into two groups depending on the severity of the disease: group I included patients with mild pancreatitis and group II--with severe acute pancreatitis.
Pleural effusions were found in 4.7% of the patients in group I and in 24.2% in group II. They were given conservative treatment; it included puncture in three patients.
Pleural effusions, which are indicators of poor prognosis, are observed most often in severe acute pancreatitis.
急性胰腺炎在导致急腹症的炎症性疾病中排名第三；约占所有急性外科急腹症病例的2%。该疾病的临床病程以多种局部和全身并发症为特征，最常见的是呼吸功能障碍。
在本研究中，我们回顾了75例急性胰腺炎患者的治疗经验，其中部分患者并发胸腔积液。根据疾病严重程度将患者分为两组：第一组包括轻度胰腺炎患者，第二组为重症急性胰腺炎患者。
第一组患者中4.7%出现胸腔积液，第二组为24.2%。对胸腔积液患者进行了保守治疗，其中3例患者进行了穿刺。
胸腔积液是预后不良的指标，最常出现在重症急性胰腺炎中。
