胰性脑病的诊治现状

张永国; 郭晓钟

doi:10.3969/j.issn.1001-5256.2017.01.009

胰性脑病的诊治现状

DOI: 10.3969/j.issn.1001-5256.2017.01.009

沈阳军区总医院消化内科

详细信息

中图分类号: R576;R747.9
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出版历程
- 收稿日期: 2016-10-28
- 出版日期: 2017-01-20

Current status of diagnosis and treatment of pancreatic encephalopathy

Department of Gastroenterology,General Hospital of Shenyang Military Area Command

摘要

摘要: 胰性脑病(PE)是胰腺炎的严重并发症,早期诊断困难、预后差。介绍了胰酶激活、细胞因子、感染、水电解质紊乱、维生素缺乏等因素参与PE的可能发病机制。归纳了PE的临床表现和实验室检查特点,指出PE临床表现特异性不强,缺乏可靠的生化诊断指标,无明确的诊断标准。阐述了PE的诊治策略,指出PE的重点在于积极有效地治疗原发病,大部分PE患者随着胰腺炎病情的缓解而好转。
- 胰性脑病 /
- 诊断 /
- 治疗
Abstract: Pancreatic encephalopathy( PE) is a serious complication of pancreatitis,with difficulties in early diagnosis and poor prognosis.This article introduces the possible pathogenesis of PE involving pancreatin activation,cytokines,infection,water and electrolyte imbalance,and vitamin deficiency,summarizes the clinical manifestations and laboratory features of PE,and points out that the clinical manifestations of PE lack specificity and there are no reliable biochemical indices or diagnostic criteria. This article also elaborates on the diagnosis and treatment strategies for PE and points out that the key to PE treatment is active and effective treatment of the primary disease. Most PE patients are improved with the control of pancreatitis.
- pancreatic encephalopathy /
- diagnosis /
- therapy

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参考文献(20)

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