摘要
胰性脑病(PE)是重症急性胰腺炎的严重并发症,以神经精神障碍为主要临床表现。此病早期诊断困难、病死率高、预后差,积极消除其各种诱因、早期诊断及综合治疗是取得较好疗效的关键。该文介绍了胰酶作用、电解质紊乱及低氧血症、感染因素以及维生素缺乏等在PE发病机制中的作用,并对PE的临床表现、诊断与鉴别诊断以及临床治疗进行了总结,希望对临床PE的理解及诊治有所帮助。
Pancreatic encephalopathy(PE)is a severe complication of severe acute pancreatitis,which is characterized by a group of neurological signs and symptoms.It′s difficult to have an early diagnosis of PE.The mortality of PE is high and the prognosis is very bad.Eliminating various inducements,early diagnosis and combined therapy are the keys to achieve better efficacy in the treatment of PE.This paper reviews the roles of pamcreatin,electrolyte disturbances,hypoxemia,affectoi and vitamin deficiency in the pathogenesis of PE,also,the clinical manifestation,diagnosis and treatment of PE are summarized with the view to get further understand of PE.
出处
《医学综述》
2010年第4期595-598,共4页
Medical Recapitulate
关键词
急性胰腺炎
胰性脑病
诊断
治疗
Acute pancreatitis
Pancreatic encephalopathy
Diagnosis
Treatment