ZHANG Hong yan , XIA Qing
  • Department of Integrated Traditional Chinese Medicine and Western Medicine; West China Hospital; Sichuan University; Chengdu 610041; China;
Pancreatic encephalopathy; Pathogeny; Diagnostic criteria; Prevention and treatment strategy
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目的 　探討胰性腦病的可能的發病機制、發病情況及防治措施.
方法 　計算機檢索中文科技期刊全文數據庫(1989～2004),收集有關胰性腦病的臨床研究,并進行統計分析.
結果 　共納入43篇文獻,435例患者.胰性腦病在重癥急性胰腺炎中的發病率遠高于輕癥急性胰腺炎;發病年齡趨向中、老年;病死率為43.67%;病因仍以膽系疾病為主;伴發低氧的幾率不高于未并發胰性腦病患者.
結論 　胰性腦病的發生可能是多因素共同作用的結果,仍需進一步探討其發病機制.血清髓鞘堿性蛋白有望成為有價值的診斷指標.防治以治療原發病急性胰腺炎為主,重在預防.胰酶抑制劑和早期營養支持有一定預防作用.

Citation： ZHANG Hong yan,XIA Qing. Review of the Chinese Literature about Pancreatic Encephalopathy in Recent 15 Years. Chinese Journal of Evidence-Based Medicine, 2005, 05(1): 71-74. doi: Copy

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