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患者,女,39岁.因中上腹疼痛,呕吐1天入院.查体:体温36.4℃,皮肤巩膜无黄染,心肺无异常,腹软,中上腹剑突下有压痛,未触及包块,移动性浊音阴性.血淀粉酶1980u,尿淀粉酶8800u.入院后经抑制胰腺分泌、禁食、胃肠减压、抗生素、支持对症治疗,先后使用654-2、善得定、5-FU、法莫替丁、中药(清胰汤)等治疗,患者腹痛减轻,但每日仍有恶心、呕吐,吐出浅黄色液体,血淀粉酶波动于375～728u,尿淀粉酶2053～6400u,CT检查提示胰腺及胆囊、胆道未见异常。为进一步明确病因,于入院第30天行ERCP检查,术中见乳
Patients, female, 39 years old due to abdominal pain, vomiting 1 day admission. Physical examination: body temperature 36.4 ℃, scleral no yellow dye, no abnormal heart and lung, abdominal soft, tenderness under the Xiphoid process, untouchable package Block, mobility dullness negative. Blood amylase 1980u, urinary amylase 8800u. Admission by the inhibition of pancreatic secretion, fasting, gastrointestinal decompression, antibiotics, symptomatic treatment support, have used 654-2, good set, 5- FU, famotidine, Chinese medicine (Qingyi Tang) and other treatment, patients with abdominal pain to reduce, but still nausea and vomiting daily, spit out a light yellow liquid, blood amylase fluctuations in 375 ~ 728u, urine amylase 2053 ~ 6400u, CT examination prompted the pancreas and gallbladder, biliary abnormalities were not seen. In order to further clarify the cause, ERCP examination was performed on the 30th day after admission, and milk was seen during the operation