Beamish N, Schwarer A P, Watson A M, Roberts S, O'Brien P, Morgan B
Clinical Haematology and Bone Marrow Transplant, Alfred Hospital, Melbourne, Australia.
Bone Marrow Transplant. 1997 Mar;19(5):525-6. doi: 10.1038/sj.bmt.1700691.
A patient developing acute pancreatitis with pseudocyst formation after an uncomplicated bone marrow harvest is reported. The diagnosis was confirmed by elevated serum amylase and lipase, and by CT scan. We suggest that the pancreatitis may have been precipitated by spasm of the sphincter of Oddi secondary to opiates administered as premedication and for pain relief.
报告了1例在无并发症的骨髓采集后发生急性胰腺炎并形成假性囊肿的患者。血清淀粉酶和脂肪酶升高以及CT扫描证实了诊断。我们认为,胰腺炎可能是由于作为术前用药和止痛使用的阿片类药物继发Oddi括约肌痉挛所致。