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[急性胰腺炎中的坏死。外科手术与解剖病理学比较。7例]

[Necrosis in acute pancreatitis. Surgical and anatomopathological comparisons. 7 cases].

作者信息

Leger L, Chiche B, Louvel A

出版信息

Nouv Presse Med. 1977 Feb 5;6(5):337-40.

PMID:834567
Abstract

The surgeon should take pains to section and study himself the operative specimen after excision for acute pancreatitis, in order to understand the true nature of the lesions, which the most attentive and competent pathological examination cannot describe as vividly as direct examination by the operator. Often he will be surprised to find that the lesions, predominant in the capsule, are less profound and less severe than he had thought at first sight. Findings of this sort, if they were to be confirmed, would put into doubt the principle itself of routine pancreatectomy for acute pancreatitis.

摘要

外科医生应尽力在切除急性胰腺炎的手术标本后自行进行切片并研究,以便了解病变的真实性质,因为最仔细、最有能力的病理检查也无法像手术医生直接检查那样生动地描述病变情况。他常常会惊讶地发现,主要位于包膜的病变,其深度和严重程度比他第一眼看到时所认为的要轻。如果这类发现得到证实,将会使急性胰腺炎常规胰腺切除术的原则本身受到质疑。

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