Filin V I, Krasnorogov V B, Suval'skaia L A, Bicherakhova O A, Koval'chuk V I
Vestn Khir Im I I Grek. 1978 Dec;121(12):15-22.
On the grounds of a great clinical material (4,800 cases) and autopsy findings (857 autopsies) it is emphasized that there is a pathogenetic relationship between thrombotic complications and hemorrhages common in acute pancreatitis and the main disease; the thrombohemorrhagic complications playing a tremendous part in the development of its most severe forms and fatal outcome. The authors divide these complications inherent in all the phases of pancreatitis into 2 groups: early and late ones, which differ from one another by peculiarities of pathogenesis, clinical picture and treatment. The diversity of the complications is stressed, and recommendations on their diagnosis, prevention and treatment are set forth.
基于大量临床资料(4800例)和尸检结果(857例尸检),强调在急性胰腺炎中常见的血栓形成并发症和出血与主要疾病之间存在发病机制上的关联;血栓出血并发症在其最严重形式的发展和致命结局中起巨大作用。作者将胰腺炎各阶段固有的这些并发症分为两组:早期和晚期并发症,它们在发病机制、临床表现和治疗特点上彼此不同。强调了并发症的多样性,并提出了关于其诊断、预防和治疗的建议。