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目的探讨小儿急性坏死性胰腺炎的诊断和治疗。方法本文报告1983—1995年我院经外科处理并全被治愈的10例小儿急性坏死性胰腺炎。病史特点均有肠道蛔虫症病史。结果其中7例经手术治疗，3例经非手术治疗。手术后并发症为4例（57％），无死亡。结论根据本组资料，作者认为：①蛔虫侵扰是小儿坏死胰腺炎的主要发病原因之一。②本病发病虽凶险，但预后大多良好。③本病易误诊，CT扫描胰腺结合腹水淀粉酶测定，对确诊有重要帮助。④治疗过程中，早期应先行非手术处理，当胰腺坏死发生感染或脓肿时则施行手术治疗。⑤手术方法以清除胰腺坏死组织和腹腔引流为首选。
Objective To investigate the diagnosis and treatment of acute necrotizing pancreatitis in children. Methods This paper reports from 1983 to 1995 in our hospital surgically treated and all were cured of 10 cases of children with acute necrotizing pancreatitis. History of the history of intestinal ascariasis. Results of which 7 cases were treated by surgery, 3 cases by non-surgical treatment. Postoperative complications occurred in 4 patients (57%) without death. Conclusion According to this group of data, the authors believe: ① roundworm infestation is one of the main causes of pancreatitis in children with necrosis. Although the incidence of this disease is dangerous, but the prognosis is mostly good. ③ misdiagnosis of the disease, CT scan of pancreatic ascites amylase assay, there is an important diagnosis of help. ④ treatment, early should be the first non-surgical treatment, when necrosis of the pancreas infection or abscess is performed when surgery. ⑤ surgical methods to remove pancreatic necrosis and peritoneal drainage for the first choice.