开胸贲门癌切除术后急性胰腺炎——临床报告及文献复习

Acute Pancreatitis Following Thoracotomic Resection of Carcinoma of Cardiac of Stomach:Clinical Report and Review of Literatures

目的:探讨开胸贲门癌切除术后急性胰腺炎的可能发生原因、诊治手段,以及预防措施。方法:回顾性分析本院诊治的2例开胸贲门癌切除术后急性胰腺炎患者的临床资料并对相关文献进行复习。结果:本并发症占我院同期胸外科贲门癌切除手术的0·54%(2/368)。2例患者均为急性水肿性胰腺炎,均经保守治疗治愈。结论:开胸贲门癌切除术后急性胰腺炎国内外文献报道罕见,发病急,病情多较危重,关键是早发现早诊断早治疗,可显著降低死亡率。

Objective： To investigate the possible causes, methods of diagnosis and treatment and preventive measures for acute pancreatitis following thoracotomic resection of carcinoma of gastric cardia. Method： Retrospective analysis was made on the clinical data of two patients who suffered from acute pancreatitis following thoracotomic resection of carcinoma of gastric cardia, and reviewed the relevant literatures were reviewed. Result： Such complications accounted for 0.54% （2/368） of the cases of thoracotomic resection of carcinoma gastric cardia in our hospital. Both of the two cases suffered acute edematous pancreatitis. They all recovere through conservative treatment. Conclusions： Acute pancreatitis following thoracotomic resection of carcinoma of gastric cardia was rarely reported in Chinese or foreign literatures. Such cases had the feature of acute attack and severe condition of the illness. The key points were early diagnosis and prompt treatment in order to decrease the mortality.