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中华肝脏外科手术学电子杂志 ›› 2023, Vol. 12 ›› Issue (04) : 461 -463. doi: 10.3877/cma.j.issn.2095-3232.2023.04.020

病例报告

经尿道膀胱镜钬激光碎石术后并发中度重症急性胰腺炎一例
陈海艳, 周惠敏, 崔佳琪, 杨军()   
  1. 214000 江苏省无锡市,江南大学附属医院普通外科 无锡市肝胆外科研究所
  • 收稿日期:2023-02-28 出版日期:2023-08-10
  • 通信作者: 杨军
  • 基金资助:
    无锡市首届"双百"中青年医疗卫生拔尖人才(BJ2020045); 无锡市社会发展科技示范工程项目(N20201003)

Moderate severe acute pancreatitis following transurethral cystoscopic holmium laser lithotripsy: report of one case

Haiyan Chen, Huimin Zhou, Jiaqi Cui   

  • Received:2023-02-28 Published:2023-08-10
引用本文:

陈海艳, 周惠敏, 崔佳琪, 杨军. 经尿道膀胱镜钬激光碎石术后并发中度重症急性胰腺炎一例[J]. 中华肝脏外科手术学电子杂志, 2023, 12(04): 461-463.

Haiyan Chen, Huimin Zhou, Jiaqi Cui. Moderate severe acute pancreatitis following transurethral cystoscopic holmium laser lithotripsy: report of one case[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(04): 461-463.

经尿道膀胱镜钬激光碎石术后并发急性胰腺炎病例临床罕见,且相关作用机制尚不明确。本文报道1例膀胱结石伴前列腺增生患者使用经尿道膀胱镜钬激光碎石术并发中度重症急性胰腺炎(acute pancreatitis,AP)的治疗经过及预后,并查阅相关文献,分析本例患者并发AP的可能机制。

图1 一例经尿道膀胱镜钬激光碎石术后并发MSAP患者CT检查注:a为术前CT示膀胱结石,伴有膀胱残余尿阳性,腹内压偏高;b为8月25日CT示AP,胰腺体积增大,包膜掀起,胰周见液体渗出影;c为9月15日CT示AP明显吸收,胰腺周围少许渗出性改变,胰腺周围、脾门旁、肾前筋膜及左侧肾上腺区上方多处包裹性积液;AP为急性胰腺炎,MSAP为中度重症急性胰腺炎
表1 一例经尿道膀胱镜钬激光碎石术后并发MSAP患者实验室检查
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