• Department of Integrated Traditional Chinese Medicine and Western Medicine; West China Hospital; Sichuan University; Chengdu 610041; China;
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目的  探讨胰性脑病的可能的发病机制、发病情况及防治措施.
方法  计算机检索中文科技期刊全文数据库(1989~2004),收集有关胰性脑病的临床研究,并进行统计分析.
结果  共纳入43篇文献,435例患者.胰性脑病在重症急性胰腺炎中的发病率远高于轻症急性胰腺炎;发病年龄趋向中、老年;病死率为43.67%;病因仍以胆系疾病为主;伴发低氧的几率不高于未并发胰性脑病患者.
结论  胰性脑病的发生可能是多因素共同作用的结果,仍需进一步探讨其发病机制.血清髓鞘碱性蛋白有望成为有价值的诊断指标.防治以治疗原发病急性胰腺炎为主,重在预防.胰酶抑制剂和早期营养支持有一定预防作用.

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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