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急性胰腺炎并发神经精神症状,称胰性脑病。现将2例报告如下: 例1:女,21岁。发病前一天与人争吵后出现哭笑反常、胡言乱语、紧张焦虑、不愿意吃东西、问之不答或答不切题,怀疑精神病而来求医。检查:体温38℃,脉搏95次/分,呼吸23次/分,发育良好,急性痛苦面容。皮肤颜面潮红,颈软,心肺(-),腹肌紧张,左上腹压痛非常明显,肠鸣音亢进,化验检查:白细胞15000,中性81％,血淀粉酶150u(温氏法),患者过去无精神病史。诊断急性胰腺炎收住院治疗。住院后再复查血淀粉酶145u,尿淀粉酶200u、按胰腺炎治疗后,精神症状逐渐消失,住院10天精神
Acute pancreatitis complicated by neuropsychiatric symptoms, said pancreatic encephalopathy. Now report 2 cases as follows: Example 1: Female, 21 years old. After the quarrel the day before the onset of quarrel with people appear anomalies, nonsense, nervousness and anxiety, do not want to eat, ask not answered or answer irrelevant, suspected mental illness and seek medical advice. Check: body temperature 38 ℃, pulse 95 beats / min, breathing 23 beats / min, well-developed, acute painful face. The skin was bright red, soft neck, heart and lung (-), abdominal muscle tension, left upper quadrant tenderness is very obvious, bowel sounds hyperthyroidism, laboratory tests: leukocyte 15000, neutral 81%, blood amylase 150u No history of mental illness. Diagnosis of acute pancreatitis admitted to hospital for treatment. After hospital reexamination of blood amylase 145u, urinary amylase 200u, according to the treatment of pancreatitis, the mental symptoms gradually disappear, hospitalized for 10 days