Kolli Sindhura, Maslak David
Internal Medicine, The Brooklyn Hospital Center, New York, USA.
Internal Medicine, Danbury Hospital, Danbury, USA.
Cureus. 2019 May 17;11(5):e4692. doi: 10.7759/cureus.4692.
In acute pancreatitis, the most crucial aspect of management falls within the first 48-72 hours, which should be approached in a step-wise order. When steps are skipped or rushed, such as the early use of computed tomography (CT) with contrast in the setting of poor oral intake, the risk of morbidity increases. This is a case when the deleterious effects of contrast worsened the severity of the clinical course, resulting in a higher rate of mortality and longer hospital stay, and escalated the healthcare cost burden.
在急性胰腺炎中,治疗的最关键阶段在前48至72小时内,应按步骤有序进行。当跳过或仓促进行某些步骤时,比如在口服摄入不良的情况下早期使用增强计算机断层扫描(CT),发病风险就会增加。本病例中,造影剂的有害影响使临床病程的严重程度恶化,导致更高的死亡率和更长的住院时间,并增加了医疗费用负担。