Teerenhovi O, Nordback I, Isolauri J, Auvinen O
Department of Surgery, University Central Hospital, Tampere, Finland.
Int Surg. 1988 Jul-Sep;73(3):137-9.
Pancreatic resection for acute necrotising pancreatitis was followed by abscess of the remnant in 14 out of 83 cases. Not even extensive pancreatic resection could prevent pancreatic remnant infection. The 14 cases of abscess are reviewed. Seven were fatal. Enterocutaneous fistula, commonly accompanied by sepsis and major bleeding, was identified in five patients, four of whom died.
83例急性坏死性胰腺炎患者行胰腺切除术后,83例中有14例出现残端脓肿。即使进行广泛的胰腺切除也无法预防胰腺残端感染。对这14例脓肿病例进行了回顾。7例死亡。5例患者出现肠皮肤瘘,通常伴有败血症和大出血,其中4例死亡。