胰胸瘘（一例报告及文献复习）

Pancreaticopleural fistula

作者结合文献报道了一例胰胸瘘，就其发病机制、诊断和治疗进行了讨论。早期误诊的主要原因是多数患者以胸部症状就诊。常规检查胸水淀粉酶即可确诊。ＥＲＣＰ为诊断和治疗提供依据。胰管无狭窄或梗阻者首选非手术治疗。手术治疗成功的关键是解除主胰管存在的梗阻。

A case of pancreaticopleural fistula was reported.The pathogenosis,diagnosis and treatment was discussed. Thoracic symptoms and sings in its early stage predominate and often distract theclinician away from the correct diagnosis. Routine examination of amylase of the pleural fluid suggeststhe diagnosis. ERCP is essential for the diagnosis and treatment. Conservative therapy should be givenfirst in patients without stenosis or obstruction of the main pancreatic duct. Surgical theraphy should beaimed at removing the obstruction of the main pancretic duct.