中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

儿童急性胰腺炎诊断与治疗的研究进展

吴杰 刘羽飞 孔文文 王朝霞

引用本文:
Citation:

儿童急性胰腺炎诊断与治疗的研究进展

DOI: 10.3969/j.issn.1001-5256.2017.06.039
详细信息
  • 中图分类号: R725.7

Advances in the diagnosis and treatment of pediatric acute pancreatitis

  • 摘要: 近年来,急性胰腺炎(AP)发病率逐年升高,儿童AP在临床上也并不罕见。由于儿童AP病因复杂,临床表现多样,婴幼儿对自身不适叙述不清,加重了临床诊断的难度,易导致误诊、漏诊,延误治疗。随着对儿童AP的进一步认识,诊断及治疗水平均较前明显提高。现主要对儿童AP的诊断及治疗进展作一综述,以期为临床实践提供一定的指导。

     

  • [1]MORINVILLE VD, BARMADA MM, LOWE ME.Increasing incidence of acute pancreatitis at an American pediatric tertiary care center:is greater awareness among physicians responsible?[J].Pancreas, 2010, 39 (1) :5-8.
    [2]NYDEGGER A, HEINE RG, RANUH R, et al.Changing incidence of acute pancreatitis:10-year experience at the Royal Children's Hospital, Melbourne[J].Gastroenterol Hepatol, 2007, 22 (8) :1313-1316.
    [3]PANT C, DESHPANDE A, OLYAEE M, et al.Epidemiology of acute pancreatitis in hospitalized children in the United States from2000-2009[J].PLo S One, 2014, 9 (5) :e95552.
    [4]PARK A, LATIF SU, SHAH AU, et al.Changing referral trends of acute pancreatitis in children:a 12-year single-center analysis[J].Pediatr Gastroenterol Nutr, 2009, 49 (3) :316-322.
    [5]MA MH, BAI HX, PARK AJ, et al.Risk factors associated with biliary pancreatitis in children[J].Pediatr Gastroenterol Nutr, 2012, 54 (5) :651-656.
    [6]UC A.Death in pediatric intensive care unit:not for children with acute pancreatitis[J].Pediatr Gastroenterol Nutr, 2015, 61 (1) :1-2.
    [7]BAI HX, MA MH, ORABI AI, et al.Novel characterization of drug-associated pancreatitis in children[J].J Pediatr Gastroenterol Nutr, 2011, 53 (4) :423-428.
    [8]WU SB, WANG MC.The expression of receptor interacting protein3 in pancreatic tissue of severe acute pancreatitis mice[J].Clin J Med Offic, 2016, 44 (8) :859-861, 865. (in Chinese) 吴善斌, 王孟春.RIP3蛋白在重症急性胰腺炎小鼠胰腺组织中表达[J].临床军医杂志, 2016, 44 (8) :859-861, 865.
    [9]SALUJA AK, DUDEJA V.Relevance of animal models of pancreatic cancer and pancreatitis to human disease[J].Gastroenterology, 2013, 144 (6) :1194-1198.
    [10]MORINVILLE VD, LOWE ME, AHUJA M, et al.Design and implementation of insppire (International Study Group of Pediatric Pancreatitis:in search for a cure) [J].Pediatr Gastroenterol Nutr, 2014, 59 (3) :360-364.
    [11]LI W, XIE XB, QU F.Clinical signfcance of biochemical indicator in diagnosis of acute pancreatitis[J].Lab Med, 2011, 26 (8) :527-530. (in Chinese) 李武, 谢小兵, 屈飞.生化检测指标在急性胰腺炎诊断中的临床意义[J].检验医学, 2011, 26 (8) :527-530.
    [12]COFFEY MJ, NIGHTINGALE S, OOI CY.Serum lipase as an early predictor of severity in pediatric acute pancreatitis[J].Pediatr Gastroenterol Nutr, 2013, 56 (6) :602-608.
    [13]JIA R, TANG M, QIU L, et al.Increased interleukin-23/17 axis and C-reactive protein areassociated with severity of acute pancreatitis in patients[J].Pancreas, 2015, 44 (2) :321-325.
    [14]ENDO K, WENG H, KITO N, et al.MiR-216a and miR-216b as markers for acute phased pancreatic injury[J].Biomed Res, 2013, 34 (4) :179-88.
    [15]GUPTA S, SHEKHAWAT VP, KAUSHIK GG.D-dimer, a Potential marker for the prediction of severity of acute pancreatitis[J].Clin Lab, 2015, 61 (9) :1187-1189.
    [16]COFFEY MJ, NIGHTINGALE S, OOI CY.Diagnosing acute pancreatitis in children:what is the diagnostic yield and concordance for serum pancreatic enzymes and imaging within 96 h of presentation?[J].Pancreatology, 2014, 14 (4) :251-256.
    [17]CHAO HC, LIN SJ, KONG MS, et al.Sonographic evaluation of the pancreatic duct in normal children and children with pancreatitis[J].Ultrasound Med, 2000, 19 (11) :757-763.
    [18]LAUTZ TB, TURKEL G, RADHAKRISHNAN J, et al.Utilityof the computed tomography severity index (Balthazar score) in children with acute pancreatitis[J].Pediatr Surg, 2012, 47 (6) :1185-1191.
    [19]XIAO B, JIANG ZQ, JIAN SH, et al.Acute necrotizing pancreatitis:MRI manifestations of pancreatic walled-off necrosis[J].Diagn Imag Interv Radiol, 2016, 25 (2) :117-122. (in Chinese) 肖波, 蒋志琼, 蹇顺海, 等.急性坏死性胰腺炎:胰腺包裹性坏死 (WON) 的MRI表现和认识[J].影像诊断与介入放射学, 2016, 25 (2) :117-122.
    [20]RESTREPO R, HAGEROTT HE, KULKARNI S, et al.Acute pancreatitis in pediatric patients:demographics, etiology, and diagnostic imaging[J].AJR Am J Roentgenol, 2016, 206 (3) :632-644.
    [21]MIRTALLO JM, FORBES A, MCCLAVE SA, et al.International consensus guidelines for nutrition therapy in pancreatitis[J].JPEN J Parenter Enteral Nutr.2012, 36 (3) :284-291.
    [22]GONG ST.Enteral nutrition in children with acute pancreatitis[J].J Appl Clin Pediatr, 2009, 24 (7) :485-487. (in Chinese) 龚四堂.小儿急性胰腺炎的肠内营养治疗[J].实用儿科临床杂志, 2009, 24 (7) :485-487.
    [23]ZHUANG RD, MA M, LOU JG, et al.Timing of nasojejunal feeding tube placement and enteral nutrition in children with acute pancreatitis[J].Chin J Contemp Pediatr, 2014, 16 (11) :1086-1090. (in Chinese) 庄睿丹, 马鸣, 楼金玕, 等.儿童急性胰腺炎鼻空肠营养置管及肠内营养时机的探讨[J].中国当代儿科杂志, 2014, 16 (11) :1086-1090.
    [24]THOMPSON DR.Narcotic analgesic effects on the sphincter of Oddi:a review of the data and therapeutic implications in treating pancreatitis[J].Am J Gastroenterol, 2001, 96 (4) :1266-1272.
    [25]SUZUKI M, SAI JK, SHIMIZU T.Acute pancreatitis in children and adolescents[J].World J Gastrointest Pathophysiol, 2014, 5 (4) :416-426.
    [26]NOUIRA F, BEN AHMED Y, SARRAI N, et al.Pancreatic pseudocyst in children:what is the best therapeutic approach?[J].Arch Pediatr, 2011, 8 (11) :1176-1180.
    [27]TEH SH, PHAM TH, LEE A, et al.Pancreatic pseudocyst in children:the impact of management strategies on outcome[J].J Pediatr Surg, 2006, 41 (11) :1889-1893.
    [28]JAZRAWI SF, BARTH BA, SREENARASIMHAIAH J.Efficacy of endoscopic ultrasound-guided drainage of pancreatic pseudocysts in a pediatric population[J].Dig Dis Sci, 2011, 56 (3) :902-908.
    [29]ZHANG Y, ZENG WZ, WANG YX, et al.Effect of continuous blood purification in treatment of patients with severe acute pancreatitis and multiple organ dysfunction syndrome[J].J Clin Hepatol, 2016, 32 (2) :320-323. (in Chinese) 张勇, 曾维政, 王云侠, 等.连续性血液净化治疗重症急性胰腺炎合并多器官功能障碍综合征的效果观察[J].临床肝胆病杂志, 2016, 32 (2) :320-323.
    [30]PEI L, LIU CF.Clinical effect of maintenance hemodiafiltration in treatment of severe acute pancreatitis in children:an analysis of 3cases[J].Chin J Contemp Pediatr, 2014, 16 (1) :77-80. (in Chinese) 裴亮, 刘春风.持续性血液透析滤过治疗儿童重症急性胰腺炎3例临床分析[J].中国当代儿科杂志, 2014, 16 (1) :77-80.
    [31]LIU DY, LEI LM, LIAO ZH, et al.Traditional Chinese medicine in treatment of acute pancreatitis[J].J Changchun Univ Chin Med, 2015, 31 (4) :877-880. (in Chinese) 刘冬一, 雷力民, 廖昭海, 等.中医药治疗急性胰腺炎研究进展[J].长春中医药大学学报, 2015, 31 (4) :877-880.
    [32]REN XM, LI J, CHEN HJ, et al.Clinical study on Xuebijing Injection in treatment of acute pancreatitis in children[J].Drugs Clin, 2016, 31 (7) :999-1002. (in Chinese) 任晓明, 李洁, 陈赫军, 等.血必净注射液治疗儿童急性胰腺炎的临床研究[J].现代药物与临床, 2016, 31 (7) :999-1002.
  • 加载中
计量
  • 文章访问数:  2335
  • HTML全文浏览量:  34
  • PDF下载量:  398
  • 被引次数: 0
出版历程
  • 收稿日期:  2017-03-14
  • 出版日期:  2017-06-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回