儿童重症胰腺炎12例临床分析

目的分析儿童重症胰腺炎的临床表现、治疗方法。方法回顾性分析12例重症胰腺炎患儿的临床资料。结果12例患儿均急性起病，以腹痛发热为主要表现10例，血糖升高6例，有消化道出血症状2例，所有患者均有血、尿淀粉酶升高及肝功能损害；血白细胞升高9例，血钙降低3例，胰腺彩超示胰腺水肿、炎症改变的12例，其中2例并发胰腺外损害，如肝脏，肠道及胆道结石。12例均为内科保守治疗，存活11例，死亡1例。结论重症胰腺炎早期症状、体征不明显，易发生休克和多脏器损害或衰竭，应高度警惕。

The clinical analysis of 12 children with severe pancreatitis

Objective To analyze the clicinal feature and therapy of the children with severe pancreatitis. Methods The clinical data of 12 children with severe pancreatitis were collected and analyzed retrospectively. Results All the cases had acute onset,lO cases had abdominal pain and fever,6 cases had abnormal blood glucose, 2cases had gastrointestinal bleeding. All these cases had abdominal distention, hypoaetive bowel sounds, aseites,intes- tinal obstruction. All these cases had a higher level of blood and urine amylase than normal, and abnormal liver func- tion. 9 cases had elevated WBC, 3 cases had descendant blood calcium, edematous and intlammatory thymus were presented in 12 cases, 2 of whom were associated with expancreatical damage, such as liver, intestinal, and biliary tract stones. Conclusion The early stage of severe pancreatitis is not obvious in symptoms and signs, and is prone to mul- tiple organ damage or failure to which all pediatric clinicians should have high alert.