胰腺脓肿

急诊手术引流治疗3例（SAP并化脓性腹膜炎、胰腺脓肿）。

Cases complicated purulent peritonitis and pancreatic abscess were treated by drainage .

结果：B组的并发症（ARDS、肾衰、心衰、胰腺脓肿）发生率和死亡率均明显低于A组（P<0.001）。

Results : The incidence of complications ( ARDS , renal failure , heart failure , pancreatic abscess ) was lower in group B than group A ( P < 0.001 );

方法回顾性分析21例重症急性胰腺炎并发胰腺脓肿的临床治疗资料，脓肿数目1～7个，直径3.2～11.7cm，所有病人均经手术清除脓肿及胰腺坏死组织，并行引流及腹腔灌洗。

Methods The clinical data of 21 cases with pancreatic abscesses were retrospectively analyzed . The number and diameter of abscesses rangeed from 1 to 7 and 3.2 cm to 11.7 cm . respectively .

胰腺脓肿及胰腺坏死感染15例分析

Analyses of 15 Cases of Pancreatic Abscess and Pancreatic Necrosis Infection

21例胰腺脓肿的治疗

Surgical treatment of pancreatic abscesses : a report of 21 cases

胰腺脓肿2.33%vs9.52%。

And pancreatic abscess : 2.33 % vs 9.52 % .

胰腺脓肿显然需要引流。

Pancreatic abscess obviously requires drainage .

23例中22例治愈，1例因并发胰腺脓肿，于术后49天死于败血症。

Of the 23 cases , 22 cases were cured , and only one case died from septicemia caused by peripancreatic abscess .

并发胰腺脓肿及严重感染者，应再手术去除病灶并引流，是防止晚期死亡的重要环节。

In cases complicated with pancreatic abscess or severe retroperitoneal infection , removal of necrotic tissue and the establishment of good drainage were crucial to prevent late death .

结果：（1）胰腺脓肿和胰腺坏死感染的好发因素有重症胰腺炎、手术后胰腺炎、囊肿穿刺引流。

Results : ( 1 ) The risk factors of pancreatic abscess and pancreatic necrosis infection : severe acute pancreatitis , post-operation pancreatitis , pancreatic puncture and drainage .

腹部的超声检查可以发现胰腺炎，胰腺脓肿，胰腺肿瘤或者腹腔内存在液体。

An abdominal ultrasound may be used to check for the presence of pancreatitis , a pancreatic abscess , a pancreatic tumor , or free fluid within the abdominal cavity .

结果：胰腺感染局限或脓肿形成者的手术次数及手术死亡率明显低于有感染性胰腺坏死或液体积聚立即手术者。

Results The number of operations and postoperative mortality rate of pancreatic abscess or localized infection were lower than those of infectious pancreatic necrosis or fluid accumulation .

目的探讨胰腺感染坏死（IPN）和胰腺脓肿（PA）的诊断和治疗。

Objective To study the diagnosis and treatment of infected pancreatic necrosis ( IPN ) and pancreatic abscess ( PA ) .

胰腺少罕见炎症性病变包括胰腺脓肿、胰腺炎性肿块、自身免疫性胰腺炎、特发性纤维性胰腺炎及胰腺结核等。

The uncommon or rare inflammatory diseases include pancreatic abscess , inflammatory mass , autoimmune pancreatitis , idiopathic fibrosing pancreatitis , and pancreatic tuberculosis .

结果4例胰腺假性囊肿，2例胰腺多发性脓肿，1例囊腺瘤，1例坏死性胰腺癌，1例胰腺寄生虫性囊肿。

Results 4 cases of pancreatic pseudocyst , 2 cases of multiple pancreatic abscess , 1 case of pancreatic cystadenoma , 1 case of parasitic cyst were discovered .

结果：胰腺坏死CT敏感性为51.14%，胰腺坏死腔与脓肿、胰周坏死与积液具有不同的表现。

Results : continued by surgery and pathology were performed CT sean with non and enhancement CT sensitivity of pancreatic necrosis was 51.14 % .

其余7例患者分别于发病后5～7周施行手术，其中3例发现胰腺坏死区域有不同程度的坏死感染，甚至形成局部胰腺脓肿；

The rest 7 patients were operated on 5-7 weeks after the disease onset , different degrees of infection and necrosis developed in 3 cases , and local pancreatic abscess formation could be observed .