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[例1]男,25岁。自服敌敌畏40ml 入院,胆碱脂酶活力50%,经抢救15小时后出现上腹部疼痛,并伴有恶心、呕吐。腹透未见液平及膈下游离气体,血、尿淀粉酶均正常。治疗至18小时,胆碱脂酶活力已恢复到80%,全腹明显压痛及反跳痛。左下腹部抽出血性液体。经外科剖腹探查,吸出血性液体1500ml。胰腺明显肿胀,被膜紧张,表面有广泛小出血点。胰腺呈紫黑色、质硬。胆囊稍膨大,浆膜充血。胆道、肝、胃肠未见异常。诊断为急性出血坏死性胰腺炎。行胰腺被膜切开减压及小网膜腔和腹腔双套管引流术。住院12天痊愈出院。[例2]男,24岁。自服敌敌畏50ml 昏迷入
[Example 1] Male, 25 years old. Self-serving dichlorvos 40ml admission, cholinesterase activity 50%, after 15 hours of rescue pain in the upper abdomen, accompanied by nausea and vomiting. Abdominal see no level and the diaphragm under the free gas, blood, urine amylase were normal. Treatment to 18 hours, cholinesterase activity has been restored to 80%, full abdominal tenderness and rebound tenderness. Left lower abdomen drawn bloody fluid. Surgical laparotomy, sucking bloody fluid 1500ml. Swelling of the pancreas, capsule tension, a wide range of small bleeding on the surface. Pancreas was purple, hard. Gallbladder slightly swollen, serosal congestion. Biliary, liver, gastrointestinal no abnormalities. Diagnosis of acute hemorrhagic necrotizing pancreatitis. Pancreatic decompression of the capsule and the omentum and peritoneal double cannula drainage. Hospitalized 12 days cured. [Example 2] Male, 24 years old. Self-serving dichlorvos 50ml coma into