Jasiński A, Suchanek W, Mitlener S, Kryszewski A
Kliniki Gastroenterologii Akademii Medycznej w Gdańsku.
Pol Arch Med Wewn. 1995 Mar;93(3):253-5.
Two cases of pancreatic ascites have been presented. 1. A 29 year old man, heavy alcoholic, with fast growing ascites presented since long biochemic features of pancreatitis. The diagnosis of the pancreatic origin of ascites was made on the ground of the high level of amylase in the ascitic fluid. Conservative treatment was effectless. The patients refused surgical therapy. Then he died in septic shock. Autopsy confirmed the pancreatic origin of ascites. 2. A 43 year old man heavy alcoholic as well admitted because of fast growing ascites. As in the first case examination of the fluid confirmed the diagnosis of pancreatic origin of ascites. Again a high level of amylase and protein was found. After clinical treatment and parenteral nutrition the condition of the patient improved and he was dismissed 4 weeks later.
本文报告了两例胰源性腹水病例。1. 一名29岁男性,重度酗酒者,出现快速增长的腹水,长期以来有胰腺炎的生化特征。基于腹水淀粉酶水平升高,诊断为胰源性腹水。保守治疗无效。患者拒绝手术治疗。随后死于感染性休克。尸检证实腹水源于胰腺。2. 一名43岁男性,同样为重度酗酒者,因腹水快速增长入院。与第一例相同,对腹水的检查确诊为胰源性腹水。同样发现淀粉酶和蛋白质水平升高。经过临床治疗和肠外营养,患者病情好转,4周后出院。