儿童急性、复发性和慢性胰腺炎的谱系

Spectrum of acute, recurrent and chronic pancreatitis in children.

作者信息

Imran Muhammad, Khan Sabeen Abid, Malik Munir Iqbal

机构信息

Department of Paediatrics, Shifa College of Medicine, Shifa Tameer e Millat University, Islamabad, Pakistan.

Pediatrics Department, Shifa College of Medicine, Shifa Tameer e Millat university, Islamabad.

出版信息

J Pak Med Assoc. 2020 Dec;70(12(B)):2412-2415. doi: 10.47391/JPMA.540.

DOI:10.47391/JPMA.540

PMID:33475554

Abstract

OBJECTIVE

To determine the clinical presentation, aetiology and outcome of pancreatitis in paediatric population.

METHODS

The retrospective study was conducted at Shifa International Hospital, Islamabad, Pakistan, and comprised data of children with pancreatitis presenting between 2013 and 2018. Medical records were reviewed and findings of clinical, laboratory workup and management were noted on a specifically developed proforma. Data was analysed using SPSS 23.

RESULTS

Of the 51 subjects, 28(54.9%) were boys. The overall mean age was 10.6±4.9 years. The most frequent clinical symptom was epigastric pain 39(76.5%). The most common aetiology was gallstones/pancreatic stones 19(37.25%). Mean hospital stay was 5.1±1.8 days, and it was longer in children aged up to 5 years compared to older children (p<0.05). Acute pancreatitis was seen in 23(45.09%) patients, followed by recurrent 19(37.25%) and chronic 9(17.64%). There was no mortality.

CONCLUSIONS

Timely diagnosis and prompt management of haemodynamic status could lead to successful recovery without any serious complications in paediatric pancreatitis.

摘要

目的

确定儿科人群胰腺炎的临床表现、病因及预后。

方法

本回顾性研究在巴基斯坦伊斯兰堡的希法国际医院开展，纳入了2013年至2018年间胰腺炎患儿的数据。查阅病历，并在专门设计的表格上记录临床、实验室检查及治疗结果。使用SPSS 23软件进行数据分析。

结果

51名受试者中，28名（54.9%）为男孩。总体平均年龄为10.6±4.9岁。最常见的临床症状是上腹部疼痛，共39例（76.5%）。最常见的病因是胆结石/胰石，共19例（37.25%）。平均住院时间为5.1±1.8天，5岁及以下儿童的住院时间比大龄儿童更长（p<0.05）。23例（45.09%）患者为急性胰腺炎，其次是复发性胰腺炎19例（37.25%）和慢性胰腺炎9例（17.64%）。无死亡病例。