Urban M, Splaingard M, Werlin S L
Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee 53226.
Childs Nerv Syst. 1994 Aug;10(6):388-91. doi: 10.1007/BF00335128.
Vomiting, abdominal distension, and feeding intolerance are common findings following brain injury in children, and are usually attributed to the brain injury or to delayed gastric emptying: a specific cause is usually not sought. We report six children who developed mild to moderate pancreatitis at least 7 days following apparently isolated brain injury, a previously unreported association. Five of the six patients received drugs that are known or suspected pancreatotoxins; all recovered without changes in the medications. When children develop feeding intolerance or upper gastrointestinal symptoms following traumatic brain injury pancreatitis should be suspected.
呕吐、腹胀和喂养不耐受是儿童脑损伤后常见的表现，通常归因于脑损伤或胃排空延迟：通常不会寻找具体病因。我们报告了6例儿童，他们在明显孤立性脑损伤至少7天后发生了轻度至中度胰腺炎，这是一种此前未报告过的关联。6例患者中有5例使用了已知或疑似胰腺毒素的药物；所有患者均康复，且用药未改变。当儿童在创伤性脑损伤后出现喂养不耐受或上消化道症状时，应怀疑胰腺炎。
