Neher M, Mangold G, Kümmerle F
Helv Chir Acta. 1977 Oct;44(4):515-7.
22 out of 180 patients with chronic relapsing pancreatitis showed an acute hemorrhagic-necrotizing exacerbation. in 11 out of these there was an indication for operative management of the chronic pancreatitis before onset of the acute exacerbation. The clinical picture is similar to that of the acute hemorrhagic-necrotizing pancreatitis. The surgical procedure consisted in digital removal of necrotic tissue and left-sided resection. 13 out of the 22 patients survived.
180例慢性复发性胰腺炎患者中有22例出现急性出血性坏死性加重。其中11例在急性加重发作前有对慢性胰腺炎进行手术治疗的指征。临床表现与急性出血性坏死性胰腺炎相似。手术步骤包括用手指清除坏死组织和左侧切除。22例患者中有13例存活。