Acute Pancreatitis
Acute Pancreatitis
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DOI：
10.1002/9781119570097.ch1
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
J. Barkin;J. Barkin
中科院分区：
文献类型：
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作者：
J. Barkin;J. Barkin
急性胰腺炎（AP）是世界范围内的一个常见问题。胆道疾病包括胆石症、胆总管结石症、微石症和胆道淤泥症，它们可能是AP最常见的病因。AP的诊断是基于有AP病因倾向的适当个体的上腹部疼痛主诊，以及实验室检查大于正常上限三倍的结果。疑似AP患者的初始影像学检查应包括胸部X线片、腹部平片和直立片。三天内开始肠内营养的益处可以降低继发感染的风险，改善AP患者的营养状况。Runzi等人的一份初步报告显示，16例严重AP合并感染性胰腺坏死患者的非手术治疗，仅采用适合细菌学和非手术治疗的抗生素方案治疗，死亡率为12%。
Acute pancreatitis (AP) is a common problem worldwide. Biliary diseases include cholelithiasis, choledocholithiasis, microlithiasis, and biliary sludge, and are likely the most common cause of AP. The diagnosis of AP is based on the presence of a chief complaint of epigastric abdominal pain in an appropriate individual who has a propensity for an etiology of AP and the finding of a laboratory test greater than threefold the upper limit of normal. The initial imaging of a patient with suspected AP should include chest X‐ray and flat and upright abdominal radiographs. The benefits of enteral nutrition begun within three days could reduce the risk of secondary infection and improve the nutritional status of patients with AP. An initial report by Runzi et al. of nonsurgical treatment of 16 patients with severe AP with infected pancreatic necrosis, treated only with an antibiotic regimen adapted to bacteriology and nonsurgical therapy, reported a 12% mortality rate.