摘要
目的探讨急性胰腺炎(AP)合并脾梗死的病因、发病机制、临床表现及治疗。方法回顾性分析一例AP合并脾梗死病例资料并进行文献复习。结果AP合并脾梗死提示患者病情严重,脾梗死引起脾脏免疫功能受损可能是发生重症急性胰腺炎(SAP)的重要原因,早期发现积极治疗可获得良好预后,抗凝或抗血小板聚集等治疗并非关键性治疗。结论AP合并脾梗死可能是SAP的危险因素。
Objective To investigate the etiology,pathogenesis,clinical manifestations,and treatment of acute pancreatitis(AP)complicated with spleen infarction.Methods A case of AP combined with splenic infarction was retrospectively analyzed and the literature was reviewed.Results AP complicated with splenic infarction suggested that the patient′s condition was serious.The impairment of splenic immune function caused by splenic infarction may be an important cause of severe acute pancreatitis(SAP).Early detection and active treatment can obtain a good prognosis,and anticoagulant or antiplatelet aggregation treatment was not the key treatment.Conclusions AP combined with splenic infarction may be an risk factor for SAP.
作者
龙颖
韦丽娟
覃素梅
邹格
莫亮
蔡怀阳
Long Ying;Wei Lijuan;Qin Sumei;Zou Ge;Mo Liang;Cai Huaiyang(Department of Gastroenterology,Liuzhou People′s Hospital of Guangxi Zhuang Autonomous Region,Liuzhou 545006,China;Department of Radiology,Liuzhou People′s Hospital of Guangxi Zhuang Autonomous Region,Liuzhou 545006,China)
出处
《中国医师杂志》
CAS
2021年第12期1814-1817,共4页
Journal of Chinese Physician
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190011)
柳州市人民医院院内科研基金(lry202005)
关键词
脾梗死
胰腺炎
急性
多器官功能衰竭
Splenic infarction
Pancreatitis,acute
Multiple organ failure
