儿童重症急性胰腺炎的早期评估与治疗

Early assessment and treatment of severe acute pancreatitis in children

儿童重症急性胰腺炎病死率高,因此对急性胰腺炎患儿进行早期充分的评估,早期识别导致重症急性胰腺炎的风险因素,并予以积极的干预治疗,对急性胰腺炎的转归有重要影响。本文总结国内外临床指南或共识,从儿童重症急性胰腺炎的流行病学、临床特征、早期筛查评估及治疗措施等方面,阐述儿童重症急性胰腺炎的诊断及治疗方案。

Due to the high mortality rate of severe acute pancreatitis in children,early and adequate evaluation of children with acute pancreatitis,early identification of risk factors leading to severe acute pancreatitis,and active intervention therapy have important impacts on the outcome of acute pancreatitis.This review summarized clinical guidelines or consensus worldwide,and elaborated the diagnosis and treatment of severe acute pancreatitis in children from the aspects of epidemiology,clinical features,early screening evaluation and treatment measures.