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创伤后重症急性胰腺炎并发腹腔内感染:一例报告

Severe acute pancreatitis complicated with intra-abdominal infection secondary to trauma: A case report.

作者信息

Zhang Yu, Cui Yun-Feng

机构信息

Department of Surgery, Tianjin Nankai Hospital, Tianjin Medical University, Tianjin 300070, China.

Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin 300100, China.

出版信息

World J Clin Cases. 2024 Sep 6;12(25):5821-5831. doi: 10.12998/wjcc.v12.i25.5821.

Abstract

BACKGROUND

Pancreatic trauma (PT) is rare among traumatic injuries and has a low incidence, but it can still lead to severe infectious complications, resulting in a high mortality rate. Acute pancreatitis (AP) is a common complication after PT, and when combined with organ dysfunction and sepsis, it will result in a poorer prognosis.

CASE SUMMARY

We report a 25-year-old patient with multiple organ injuries, including the pancreas, due to abdominal trauma, who developed necrotising pancreatitis secondary to emergency caesarean section, combined with intra-abdominal infection (IAI). The patient underwent performed percutaneous drainage, pancreatic necrotic tissue debridement, and abdominal infection foci debridement on the patient.

CONCLUSION

We report a case of severe AP and IAI secondary to trauma. This patient was managed by a combination of conservative treatment such as antibiotic therapy and fluid support with surgery, and a better outcome was obtained.

摘要

背景

胰腺创伤(PT)在创伤性损伤中较为罕见,发病率较低,但仍可导致严重的感染并发症,死亡率较高。急性胰腺炎(AP)是PT后的常见并发症,若合并器官功能障碍和脓毒症,预后将更差。

病例摘要

我们报告一名25岁因腹部创伤导致包括胰腺在内的多器官损伤的患者,该患者因急诊剖宫产继发坏死性胰腺炎,并合并腹腔内感染(IAI)。对该患者进行了经皮引流、胰腺坏死组织清创及腹腔感染灶清创。

结论

我们报告了一例创伤后严重AP和IAI的病例。该患者通过抗生素治疗和液体支持等保守治疗与手术相结合的方式进行处理,取得了较好的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7912/11263061/103c9fae6524/WJCC-12-5821-g001.jpg

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