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[一名慢性胰腺炎患者的胰胸膜瘘]

[Pancreato-pleural fistula in a patient with chronic pancreatitis].

作者信息

Karlsborg M, Jørgensen B B

机构信息

Københavns Amts Sygehus i Glostrup, medicinsk afdeling F.

出版信息

Ugeskr Laeger. 1992 Jan 27;154(5):275-7.

PMID:1736461
Abstract

A case with pancreaticopleural fistula formation in a 33-year-old man with alcohol-induced chronic pancreatitis with a pseudocyst in the head of the pancreas is reported. The patient was treated with repeated pleurocentesis, but the fistula first closed and was drained after treatment with the somatostatin-analogue, sandostatin, for 38 days and total parenteral nutrition for 26 days probably because a spontaneous pancreaticogastric fistula had then formed. At the most recent outpatient control re-examination of the pancreas with ultrasound no cyst was shown.

摘要

报道了一名33岁男性酒精性慢性胰腺炎伴胰腺头部假性囊肿患者发生胰胸膜瘘的病例。患者接受了反复胸腔穿刺术治疗,但瘘口最初闭合,在使用生长抑素类似物善宁治疗38天和全胃肠外营养26天后引流,这可能是因为当时形成了自发性胰胃瘘。在最近一次门诊对胰腺进行超声复查时未发现囊肿。

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