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[胰腺脓肿与感染性假性囊肿]

[Pancreatic abscess and infected pseudocyst].

作者信息

Trinidad E E, Ramírez-Ronda C H

机构信息

Programa de Enfermedades Infecciosas, Universidad de Puerto Rico, San Juan.

出版信息

Bol Asoc Med P R. 1994 Jul-Sep;86(7-9):68-70.

PMID:7945656
Abstract

Acute pancreatitis is a sterile inflammatory process caused by a chemical auto digestion of the pancreas. The pancreatic abscess and infected pseudocyst are complications of acute pancreatitis of a high mortality rate that require a prompt diagnosis. The pseudocyst is defined as a localized collection of pancreatic juices confine to a retroperitoneal area by a fibrous membrane without epithelium; an abscess is a collection of pus and necrotic tissue. This illnesses should be suspected when patients with acute pancreatitis develop fever, tachycardia, abdominal distention or mass after 14-22 days after the initial attack. These entities require different treatment. The definite treatment is surgical intervention.

摘要

急性胰腺炎是一种由胰腺自身化学性消化引起的无菌性炎症过程。胰腺脓肿和感染性假性囊肿是急性胰腺炎的并发症,死亡率很高,需要及时诊断。假性囊肿定义为胰液局限性积聚,被无上皮的纤维膜局限于腹膜后区域;脓肿是脓液和坏死组织的积聚。当初发急性胰腺炎患者在发病14 - 22天后出现发热、心动过速、腹胀或肿块时,应怀疑这些疾病。这些病症需要不同的治疗方法。明确的治疗方法是手术干预。

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