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急性重症胰腺炎是肝移植术后多种危重并发症之一,虽然发病率相对较低(3%-12%),但死亡率高达50%-80%,应当受到临床医生的高度重视。然而在临床工作中,由于肝移植术后患者生理状况及病理情况复杂多变,胰腺炎在发作早期常常被临床医生忽视。并且,肝移植术后并发急性胰腺炎的病因及危险因素有很多,使得治疗对策缺乏针对性,治疗效果也相应的降低。因此,本文报告1例肝移植术后并发急性重症胰腺炎,同时综合国内外文献报道进行分析讨论,为临床上肝移植术后并发急性重症胰腺炎的诊治提供帮助。
Acute severe pancreatitis is one of the many critical complications after liver transplantation. Although the incidence is relatively low (3% -12%), the mortality rate is as high as 50% -80%, which should be highly valued by clinicians. However, in clinical practice, due to the complex physiological conditions and pathological changes of patients after liver transplantation, pancreatitis is often neglected by clinicians in the early stage of the attack. And, liver transplantation complicated with acute pancreatitis etiology and risk factors are many, making the lack of targeted treatment strategies, the corresponding reduction in the treatment effect. Therefore, this article reports a case of acute severe pancreatitis after liver transplantation, and at the same time comprehensive analysis of the domestic and international literature to discuss and discuss the clinical diagnosis and treatment of acute severe pancreatitis after liver transplantation.