Kayar Yusuf, Turkdogan Kenan Ahmet, Baysal Birol, Gultekin Nigar, Danalioglu Ahmet, Ince Ali Tuzun, Senturk Hakan
Bezmialem Vakif University, Department of Internal Medicine, Division of Gastroenterology, Istanbul, Turkey.
Adnan Menderes University, Department of Emergency Medicine, Aydin, Turkey.
Pan Afr Med J. 2015 Jun 15;21:122. doi: 10.11604/pamj.2015.21.122.6988. eCollection 2015.
While pleural effusion and ascites secondary to acute pancreatitis are common, clinically relevant pericardial effusion and cardiac tamponade are observed rarely. In a study by Pezzilli et al., pleural effusion was noted in 7 of the 21 patients with acute pancreatitis whereas the authors detected pericardial effusion development in only three. The authors asserted that pleural effusion was associated with severe acute pancreatitis, while pericardial effusion and the severity of acute pancreatitis were not significantly related.
虽然急性胰腺炎继发的胸腔积液和腹水很常见,但临床上相关的心包积液和心脏压塞很少见。在佩齐利等人的一项研究中,21例急性胰腺炎患者中有7例出现胸腔积液,而作者仅检测到3例发生心包积液。作者断言,胸腔积液与重症急性胰腺炎有关,而心包积液与急性胰腺炎的严重程度无显著相关性。