Dimitrova V, Gaĭdarski R
Khirurgiia (Sofiia). 1991;44(3):17-21.
After a brief review of the literature the authors present three cases of acute postoperative pancreatitis in patient operated for different reasons with lethal outcome. In one patient the complication developed after duodeno-hemipancreatectomy and is the only patient with such complication (2 per cent) of 50 patients in whom radical operation was performed for cancer of the pancreas over the period Jan. 1983-May 1990. The current aspects of the etiology, treatment and above all of the prophylaxis of acute postoperative pancreatitis, which is a very serious postoperative complication with very high case fatality rate (up to 77 per cent, according to data in the literature) are discussed.
在对文献进行简要回顾后,作者介绍了三例因不同原因接受手术的患者发生急性术后胰腺炎并导致致命结局的病例。其中一例患者在十二指肠半胰切除术后出现该并发症,是1983年1月至1990年5月期间因胰腺癌接受根治性手术的50例患者中唯一出现此类并发症的患者(2%)。本文讨论了急性术后胰腺炎的病因、治疗,尤其是预防方面的当前情况,急性术后胰腺炎是一种非常严重的术后并发症,病死率很高(根据文献数据高达77%)。