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胰性脑病是急性胰腺炎的并发症之一,我们近年遇到2例,现报道如下。 病历摘要 例1:患者女性,38岁。因上腹持续性剧痛伴呕吐22h入院。体检:T36.8℃,R24次/min,BP9.5/6kPa。神志清,巩膜不黄,颈软,两肺听诊正常,心率118次/min,心律规则。腹胀,全腹有压痛,反跳痛及肌卫,尤以中上腹部为著,移动性浊音阳性可疑,肠鸣音减弱。实验室检查:血WBC19.8×109/L,N0.80,L0.18;血清淀粉酶(Somogyi法测定,下同)1092U,尿淀粉酶2252U;腹穿抽得血性液体,其淀粉酶1698U。B超及CT检查均提示胰
Pancreatic encephalopathy is one of the complications of acute pancreatitis, we have encountered two cases in recent years, are reported below. Case Summary 1: Female patient, 38 years old. Due to persistent abdominal pain with vomiting 22h admission. Physical examination: T36.8 ℃, R24 times / min, BP9.5 / 6kPa. Consciousness, the sclera is not yellow, neck soft, auscultation of both lungs normal, heart rate 118 beats / min, heart rate rules. Abdominal distension, the whole abdomen with tenderness, rebound tenderness and myo-Wei, especially in the upper abdomen as a positive migratory dullness suspicious bowel sounds weakened. Laboratory tests: blood WBC19.8 × 109 / L, N0.80, L0.18; serum amylase (Somogyi method determination, the same below) 1092U, urinary amylase 2252U; abdominal punctured bloody liquid, the amylase 1698U . B ultrasound and CT examination prompted the pancreas