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急性胰腺炎是成人常见急腹症,小儿病例报告甚少,笔者1995～1996年诊治2例报告如下。1 临床资料2例中均为女性;年龄3岁、5岁各1例。发病诱因为暴食油腻食物1例,与上感及腮腺炎有关1例。发病时间为4～5月份。2例均以腹痛、恶心、呕吐为突出症状。持续性上腹痛1例,阵发性剧烈绞痛1例。体温正常者1例,驰张热者1例。查体:腹平坦,上腹、左上腹明显压痛,无反跳痛。实验室检查:尿淀粉酶(温氏法)580单位以上;肝功能正常。Wbc17.4×10~9/L,中性粒细胞0.71～0.83;B超示胰腺略
Acute pancreatitis is an adult common acute abdomen, pediatric cases reported very little, the author 1995-2000 diagnosis and treatment of 2 cases are as follows. 1 clinical data in 2 cases were female; age 3 years old, 5 years old in 1 case. Incentives for the incidence of oily greasy food in 1 case, and the flu and mumps in 1 case. Incidence of 4 to 5 months. 2 cases were abdominal pain, nausea, vomiting prominent symptoms. 1 case of persistent upper abdominal pain, 1 case of paroxysmal severe colic. Normal body temperature in 1 case, Chi Zhang fever in 1 case. Examination: abdominal flat, upper abdomen, left upper abdomen was tenderness, no rebound pain. Laboratory tests: urine amylase (Wen’s method) 580 units or more; liver function is normal. Wbc17.4 × 10 ~ 9 / L, neutrophils 0.71 ~ 0.83; B ultrasound showed slightly pancreatic