肝移植术后合并急性胰腺炎的回顾性分析 |
| |
引用本文: | 李铸,李立,冉江华,张升宁,刘静,李来邦,陈娟.肝移植术后合并急性胰腺炎的回顾性分析[J].中国现代医生,2010,48(3):30-31,33. |
| |
作者姓名: | 李铸 李立 冉江华 张升宁 刘静 李来邦 陈娟 |
| |
作者单位: | 昆明市第一人民医院肝胆胰一病区,昆明医学院附属甘美医院,云南,昆明,650011 |
| |
摘 要: | 目的总结肝移植术后合并急性胰腺炎的诊断及预防治疗经验。方法对我院2006~2009年肝移植术后合并急性胰腺炎患者的临床资料进行回顾性分析。结果本组肝移植后急性胰腺炎的发生率为5.6%(6/107),33.3%的急性胰腺炎并发患者移植术中存在胰腺损伤。起病后诊断时问和治疗时间分别为(5.1±1.1)d和(21.4±16.3)d;术后血淀粉酶和尿淀粉酶恢复时间分别为(8.0±4.1)d和(16.1±4.4)d;1例术后1个月时发现直径3cm的胰腺假性囊肿,1例术后2个月并发感染中毒性休克和多器官功能衰竭,除此外无明确并发症,并发症发生率33.3%。目前5例患者健康存活,无胰腺炎复发及慢性胰腺炎出现,治愈率83.3%。1例2个月时死于感染中毒性休克、多脏器功能衰竭,死亡率16.7%。结论肝移植术中对胰腺的骚扰是并急性胰腺炎的主要因素,诊治关键在于早期预防、早期诊断及早期正规治疗。
|
关 键 词: | 肝移植 急性胰腺炎 诊断与治疗 |
Acute Pancreatitis after Liver Transplantation:A Retrospective Analysis |
| |
Authors: | LI Zhu LI Li RAN Jianghua ZHANG Shengning LIU Jing LI Laibang CHEN Juan |
| |
Institution: | (The First Department of Hepatobiliary Surgury,the First People's Hospital of Kunming;the Ganmei Affiliated Hospital of Kunming Medical University, Kunmiug 650011, China) |
| |
Abstract: | Objective To summarize the diagnosis and prevention and treatment of acute pancreatitis after liver transplantation.Methods We analyzed clinical data of 6 patients with acute pancreatitis after 107 liver transplantation patients in our hospital from 2006 to 2009.Results The incidence of acute pancreatitis after liver transplantation was 5.6%(6/107),and the damage of the pancreas was found during the transplantation in 33.3%(2/6)of patients with acute pancreatitis after liver transplantation.The diagnosis ti... |
| |
Keywords: | Liver transplantation Acute pancreatitis Diagnosing and treating |
本文献已被 CNKI 维普 万方数据 等数据库收录! |