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急性胰腺炎作为心脏手术的并发症尚了解不多。虽然据报道心肺转流后急性胰腺炎的发生率还不到1%,但实际上它常与肾脏及其它器官功能衰竭相伴存在,并因而加重病情和使患者迅速致死。诊断与治疗常很困难,因其症状不典型或因有其它并发症存在而被贻误,直至通过尸检才能确诊。即使生前作出诊断,其死亡率也比其它任何一种类型的胰腺炎为高。本文拟就12例心肺转流后及有关对照组的胰腺损害范围、临床及实验室发现、发生的危险因素以及有效的治疗方法等作一分析。
Acute pancreatitis is a poor complication of heart surgery. Although the incidence of acute pancreatitis after cardiopulmonary bypass is reported to be less than 1%, it is often accompanied by renal and other organ failure, which aggravates the condition and causes the patient to die quickly. Diagnosis and treatment are often difficult, because of its atypical symptoms or other complications that have been delayed until confirmed by autopsy. Even before birth to diagnose, the mortality rate is higher than any other type of pancreatitis. This article intends to 12 cases after cardiopulmonary bypass and the control group of pancreatic damage range, clinical and laboratory findings, the risk factors and effective treatment for an analysis.