急性胰腺炎血管并发症的诊断和治疗

Diagnosis and treatment of vascular complications of acute pancreatitis

重症急性胰腺炎是消化科凶险的急腹症之一,起病急、病情重,可有一系列并发症,其中随着对其认识的提高及诊断方法的进步,血管并发症发病率逐渐升高。血管并发症可分为静脉性和动脉性,需根据临床表现、实验室及影像学检查进行诊断及治疗,目前临床上诊治强调个体化。综述了急性胰腺炎血管并发症的种类,临床表现,实验室、影像学检查及诊断、治疗方面的最新进展,以期对临床工作及相关研究有所帮助。

Severe acute pancreatitis is a disease involving multiple organs and systems and can lead to a series of complications. It is reported that a quarter of patients with severe pancreatitis may develop vascular complications,which is the major cause of death. Vascular complications can be divided into intravenous and arterial complications. Diagnosis and treatment should be given according to clinical manifestations,laboratory results,and imaging findings,and at present,individualized treatment is emphasized in clinical diagnosis and treatment.This article reviews the advances in the diagnosis and treatment of vascular complications of acute pancreatitis.