Jarosz M, Godziemba-Maliszewska E, Dzieniszewski J, Witkowski M
Kliniki Chorób Metabolicznych i Gastroenterologii Instytutu Zywności i Zywienia w Warszawie.
Pol Arch Med Wewn. 1997 Jan;97(1):56-61.
The case of acute alcoholic pancreatitis, complicated by internal pancreatic fistula is being reported. The general patients symptom in initial illness period was ascites in peritoneal cavity. Biochemical investigation of ascites has shown elevated activity of amylase and protein which is typical for pancreatic ascites. The late diagnosis of ascites cause (in 3rd week of the illness) and complications decreased efficacy of the treatment used (parenteral nutrition and somatostatin). Thus worse the course of the illness.
本文报告了一例急性酒精性胰腺炎并发胰内瘘的病例。患者在疾病初期的主要症状是腹腔腹水。腹水的生化检查显示淀粉酶和蛋白质活性升高,这是胰源性腹水的典型表现。腹水病因的诊断延迟(在疾病第3周)以及并发症降低了所用治疗方法(肠外营养和生长抑素)的疗效,从而使病情恶化。