Dauchel J, Michel J M, Coumaros D, Bockel R, Marescaux J, Sava G, Grenier J F
J Chir (Paris). 1977;113(2):171-80.
The authors report 11 cases of hemorrhage due to vascular ulcerations arising early or late in the course of acute pancreatitis. The seriousness of these hemorrhages, the difficulties of their therapy are pointed out. In all cases, bleeding should be controlled by surgery. Therefore, attention is drawn to the need for prompt laparotomy in all the shocked patients who failed to respond to conservative measures, for in such cases, a fatal outcome may rapidly occur. The respective advantages and inconveniences of the 2 main surgical treatments, ligation of bleeding vessels or pancreatectomy removing the source of bleeding, are discussed, basing on the presently reported cases and the data of the literature.
作者报告了11例在急性胰腺炎病程早期或晚期因血管溃疡导致出血的病例。指出了这些出血的严重性及其治疗的困难。在所有病例中，出血均应通过手术控制。因此，提醒人们注意，对于所有对保守治疗无反应的休克患者，需要迅速进行剖腹手术，因为在这种情况下，可能会迅速出现致命后果。基于目前报告的病例和文献数据，讨论了两种主要手术治疗方法（即结扎出血血管或切除出血源的胰腺切除术）各自的优缺点。
