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儿童创伤性胰腺炎1例的保守治疗:病例报告

Conservative management of a case of traumatic pancreatitis in childhood: a case report.

作者信息

Dixit P, Sharma V, Singh K R, Thapa B R, Rathore M

机构信息

Division of Pediatric Gastroenterology, Hepatology and Nutrition, Superspeciality of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Eur Rev Med Pharmacol Sci. 2014;18(12):1687-9.

Abstract

Acute pancreatitis (AP) is relatively uncommon in pediatric age group. Traumatic injury is an important cause of AP in children. Ductal disruption resulting from pancreatic trauma usually needs surgical intervention. A three-and-a-half year old child presented with complaints of abdominal pain and distension following blunt trauma abdomen. Computed tomography of abdomen revealed presence of grade III pancreatic injury with fluid collection in lesser sac. The patient was managed with antibiotics and pigtail drainage and he improved. Therapy for traumatic pancreatitis in paediatric patients must be individualised. Even high grade injuries can be managed non-operatively.

摘要

急性胰腺炎(AP)在儿童年龄组中相对不常见。创伤性损伤是儿童AP的一个重要原因。胰腺创伤导致的导管破裂通常需要手术干预。一名三岁半的儿童因腹部钝性创伤后出现腹痛和腹胀症状。腹部计算机断层扫描显示存在III级胰腺损伤,小网膜囊有积液。该患者接受了抗生素和猪尾引流治疗,病情好转。小儿创伤性胰腺炎的治疗必须个体化。即使是高级别损伤也可以非手术治疗。

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