胰性脑病——附9例报告

PANCREATIC ENCEPHALOPATHY

1986年1月～1990年1月我们共收治胰性脑病9捌，发病率占同时期急性胰腺炎的9.18％，男性3例，女性6例。9例均为重症胰腺炎患者。此病诊断困难，主要根据临康表现与排除性诊断。治疗以手术为主，积极处理原发病灶，同时辅助药物治疗。本组死亡率为66．67％。治愈率为33．33％。

Ninty eight patients with acute pancreatitis were addmitted to Wuhan Tong Ji hospital from January 1986 to January 1990. Among these cases, 9(9. 18%) developed pancreatic en-cephalopathy (PE). Of these 9 cases, 3 were males and 6 females. All of the 9 cases suffered from a severe acute pancreatitis. We consider that the diagnosis of PE is more difficult, and is frequently established by means of clinical features and ruling out other similar diseases. Surgical management of pancreatic lessions is the treatment of choice and drug therapy as an auxilliary ones. The mortality from PE is 66.67% and the survival rate only 33.33% in this PE group.