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我院近20年来收治小儿急性出血坏死性胰腺炎(AHNP)9例,均经手术治愈。现简要总结于后,并就诊断和治疗进行讨论。临床资料一般资料:男4例,女5例。年龄6～14岁,平均10.5岁。均于发病24小时以上入院。发病诱因:胆道疾病3例,饮食因素1例,诱因不明5例。临床表现:均以急性腹痛起病,且都伴有恶心呕吐。发热8例,7例在38℃以上。腹泻及便秘各1例,血便2例。惊厥及昏迷2例。脱水8例,休克4例。9例均有明显左上腹或脐上压痛、腹胀及腹膜刺激征。
Nine cases of pediatric acute hemorrhagic necrotizing pancreatitis (AHNP) admitted to our hospital in the past 20 years were cured by surgery. Now briefly summarized later, and to discuss the diagnosis and treatment. General information on clinical data: 4 males and 5 females. Age 6 to 14 years, mean 10.5 years old. All patients were admitted to hospital for more than 24 hours. Incentives: three cases of biliary disease, dietary factors in 1 case, 5 cases of unknown cause. Clinical manifestations: all acute onset of abdominal pain, and are accompanied by nausea and vomiting. Fever in 8 cases, 7 cases in more than 38 ℃. 1 case of diarrhea and constipation, 2 cases of bloody stool. Convulsions and coma in 2 cases. 8 cases of dehydration, shock in 4 cases. 9 cases were significantly left upper quadrant or umbilical tenderness, abdominal distension and peritoneal irritation sign.