Clinical features and management of severe acute pancreatitis in children
10.3760/cma.j.issn.1673-4912.2017.04.003
- VernacularTitle:儿童重症急性胰腺炎的特点与治疗
- Author:
Ye LU
;
Yucai ZHANG
- Keywords:
Acute pancreatitis;
Severe acute pancreatitis;
Continuous renal replacement therapy;
Children
- From:
Chinese Pediatric Emergency Medicine
2017;24(4):251-254
- CountryChina
- Language:Chinese
-
Abstract:
The etiology of acute pancreatitis in children is infection,drugs,trauma,or anatomic abnormalities.Acute pancreatitis is less frequent in children than in adults,but recent studies indicate that an increasing incidence in the pediatric population.Limited data of severe acute pancreatitis(SAP) remains.Abdominal pain and vomiting are important early symptoms.Also children may initially present with shock,followed by symptoms of multiple organ dysfunction.To date,there is no pediatric prognostic severity scoring system that is available to practice.The prognostic severity tool with 3 variables includes lipase,albumin,and WBC within 24 hours of admission may be applied to predict pediatric SAP.Continuous renal replacement therapy can effectively reduce systemic inflammatory response,improve the organ function and maintain the fluid balance,may be a new potential therapy in children with SAP.
