儿科慢性胰腺炎的临床谱和管理
Nida Zeeshan1, Muhammad Junaid1, Muhammad Umer Khaqan1
1Paediatric Gastroenterology/Hepatology and Child Health, Pakistan Kidney and Liver Institute and Research Centre, Lahore, PAK.
Cureus
|March 2, 2026
概括
儿科慢性胰腺炎,虽然历史上很少见,但越来越多的诊断. 通过临床,生化和成像方法的早期检测对于有效的管理至关重要,涉及医疗,内镜和手术干预.
科学领域:
- 胃肠病学 胃肠病学
- 儿科 儿科 儿科
- 医学研究 医学研究
背景情况:
- 慢性胰腺炎是一种进展性炎症性胰腺疾病,儿童的发病率越来越高.
- 它会导致严重的胰腺损伤,功能障碍和各种并发症.
- 有效的管理需要了解其临床谱和儿科患者的诊断发现.
研究的目的:
- 描述儿科慢性胰腺炎的临床谱,诊断结果和治疗方法.
- 强调多学科团队管理对于优化第三级护理环境中的患者结果的重要性.
主要方法:
- 对被诊断患有慢性胰腺炎的儿童进行了回顾性观察队列研究 (2021年9月 - 2023年9月).
- 对人口统计数据,临床表现,实验室结果,成像发现 (CT,MRCP) 和治疗方式的分析.
- 使用SPSS进行统计分析.
主要成果:
- 分析了21名儿科患者 (平均年龄10.52岁;11名男性,10名女性).
- 腹膜疼痛是普遍的;父母血缘关系 (85.7%) 和异常病因 (71.4%) 是常见的.
- 胰腺氨基酶 (90.5%) 和脂酶 (81.0%) 的升高是常见的;成像显示了管道变化;47.6%需要手术.
结论:
- 通过全面评估,对儿科慢性胰腺炎的早期诊断至关重要.
- 医疗治疗是主要的,对耐火病例进行内镜和手术干预.
- 量身定制的多学科方法对于改善结果至关重要,尤其是在资源有限的环境中.
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