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并发急性胰腺炎和心包积液。

Concurrent acute pancreatitis and pericardial effusion.

作者信息

Kayar Yusuf, Turkdogan Kenan Ahmet, Baysal Birol, Gultekin Nigar, Danalioglu Ahmet, Ince Ali Tuzun, Senturk Hakan

机构信息

Bezmialem Vakif University, Department of Internal Medicine, Division of Gastroenterology, Istanbul, Turkey.

Adnan Menderes University, Department of Emergency Medicine, Aydin, Turkey.

出版信息

Pan Afr Med J. 2015 Jun 15;21:122. doi: 10.11604/pamj.2015.21.122.6988. eCollection 2015.

DOI:10.11604/pamj.2015.21.122.6988
PMID:26327959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4546713/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0de/4546713/8f3f3c253dde/PAMJ-21-122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0de/4546713/8f3f3c253dde/PAMJ-21-122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0de/4546713/8f3f3c253dde/PAMJ-21-122-g001.jpg

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Pan Afr Med J. 2015 Jun 15;21:122. doi: 10.11604/pamj.2015.21.122.6988. eCollection 2015.
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引用本文的文献

1
Mediastinal Pseudocyst and Cardiac Tamponade Due to Massive Pericardial Effusion in Pediatric Chronic Calcific Pancreatitis.小儿慢性钙化性胰腺炎所致大量心包积液引起的纵隔假性囊肿和心脏压塞
J Pediatr Intensive Care. 2017 Sep;6(3):194-198. doi: 10.1055/s-0036-1587326. Epub 2016 Aug 8.

本文引用的文献

1
Swinging heart in acute pancreatitis.急性胰腺炎中的摆动心脏。
Am J Med Sci. 2013 Aug;346(2):160-1. doi: 10.1097/MAJ.0b013e3182805779.
2
Mediastinal pancreatic pseudocyst with isolated thoracic symptoms: a case report.
J Med Case Rep. 2008 May 27;2:180. doi: 10.1186/1752-1947-2-180.
3
Cardiac tamponade--a rare complication in acute pancreatitis.心脏压塞——急性胰腺炎中的一种罕见并发症。
Z Gastroenterol. 1997 Jun;35(6):477-80.
4
Chylous cardiac tamponade in acute pancreatitis.急性胰腺炎并发乳糜性心包填塞
Dig Dis Sci. 1996 Oct;41(10):1972-4. doi: 10.1007/BF02093598.
5
Pericardial effusion and left ventricular function in acute pancreatitis.急性胰腺炎时的心包积液与左心室功能
Am J Gastroenterol. 1996 May;91(5):997-1000.
6
Ascites, pleural, and pericardial effusions in acute pancreatitis. A prospective study of incidence, natural history, and prognostic role.急性胰腺炎中的腹水、胸腔积液和心包积液。发病率、自然病程及预后作用的前瞻性研究。
Dig Dis Sci. 1996 May;41(5):848-52. doi: 10.1007/BF02091521.
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Cardiac tamponade in acute pancreatitis.急性胰腺炎并发心脏压塞
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