Saing H, Fan S T, Mya G H, Chan K L, Chan F L
Department of Surgery, Queen Mary Hospital, University of Hong Kong.
J Pediatr Surg. 1994 Dec;29(12):1541-4. doi: 10.1016/0022-3468(94)90210-0.
A previously healthy 2-year-old boy was admitted because of shortness of breath, cough, and fever; there was minimal abdominal pain. He had recurrent right, followed by left pleural effusions, which contained markedly elevated amylase levels and high protein content. The pleural fluid amylase levels were disproportionately higher than the serum amylase levels. His abdominal signs were minimal. Surgical exploration showed a disruption of the proximal pancreatic duct. Distal pancreatectomy and Roux-en-Y pancreatico-jejunostomy were performed. After a complicated postoperative course he was discharged well and has remained so for more than 2 years.
一名既往健康的2岁男童因呼吸急促、咳嗽和发热入院；伴有轻微腹痛。他反复出现右侧胸腔积液，随后左侧也出现胸腔积液，胸腔积液中淀粉酶水平显著升高且蛋白质含量高。胸腔积液淀粉酶水平比血清淀粉酶水平高得不成比例。他的腹部体征轻微。手术探查显示近端胰管破裂。进行了远端胰腺切除术和Roux-en-Y胰空肠吻合术。经过复杂的术后病程，他顺利出院，并且在2年多的时间里一直保持良好状态。
