【摘要】 目的探讨小儿急性坏死性胰腺炎的诊断和治疗。方法本文报告1983—1995年我院经外科处理并全被治愈的10例小儿急性坏死性胰腺炎。病史特点均有肠道蛔虫症病史。结果其中7例经手术治疗，3例经非手术治疗。手术后并发症为4例（57％），无死亡。结论根据本组资料，作者认为：①蛔虫侵扰是小儿坏死胰腺炎的主要发病原因之一。②本病发病虽凶险，但预后大多良好。③本病易误诊，CT扫描胰腺结合腹水淀粉酶测定，对确诊有重要帮助。④治疗过程中，早期应先行非手术处理，当胰腺坏死发生感染或脓肿时则施行手术治疗。⑤手术方法以清除胰腺坏死组织和腹腔引流为首选。更多还原

【Abstract】 The diagnosis and surgical treatment of acute necrotizing pancreatitis in children were discussed. Methods:During a 13-year period from 1983 to 1995, 10 children suffering from acute necrotizing pancreatitis were treated in our hospital.All patients were infested with Ascaris Lumbricoides in their history. Of these, 7 cases required surgical intervention and 3 cases managed conservatively. Results The operation complications occured in four patients (57 % ),no operative mortality. Conclusion According to the data, the authors consider the characteristics of the infantile necrotizing pancreatitis as follow: @ Ascaris lumbricoides infestation is the main cause of necrotizing pancreatitis. @The attack is more acute and symtoms are very severe,but the result of the treatment is excellent. 3＜isdiagnosis often happens in infantile necrotizing pancreatitis,CT scan combining with amylase analysis in peritoneal fluid is very helpful for correct diagnosis. 4 The treatment should be started with conservative measures,the surgical intervention is only proformed when there are signs of pancreatic tissue infection or pancreatic absess. 5. The surgical procedures are consisted of necrotizing tissue resection and drainage of peritoneal cavity.更多还原