1病历报告患者,男,42岁,于2005年10月11日因“腹痛、腹胀,伴恶心,呕吐,发热3d入院”。之前在当地医院诊断为急性坏死性胰腺炎,经胃肠减压,抗炎、对症,抑制胰酶分泌等治疗后无好转。患者入院时体温38.7℃,精神差,巩膜轻度黄染,左上腹触及一6.0cm×6.0cm×6.3cm大小之包块,化验资 1 patient report patient, male, 42 years old, on October 11, 2005 due to “abdominal pain, abdominal distension, with nausea, vomiting, fever 3d hospitalization.” Before the local hospital diagnosed with acute necrotizing pancreatitis, gastrointestinal decompression, anti-inflammatory, symptomatic, inhibition of pancreatic enzyme secretion and other treatment did not improve. Patients admitted to the body temperature of 38.7 ℃, poor spirit, scleral mild yellow dye, left upper abdomen touching a 6.0cm × 6.0cm × 6.3cm size of the mass, laboratory capital