中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2010年
1期
68-69
,共2页
胰腺炎%脑功能%脱髓鞘
胰腺炎%腦功能%脫髓鞘
이선염%뇌공능%탈수초
Pancreatitis%Cerebral functional%Demyelination
目前认识到重症急性胰腺炎合并脑功能障碍存在脱髓鞘病理改变,检测脑脊液、血液髓鞘碱性蛋白以及头颅磁共振扫描有助于诊断脱髓鞘病变.重症急性胰腺炎脑功能障碍的诊断与治疗尚需大量临床经验的积累,以及发病机制的探索.
目前認識到重癥急性胰腺炎閤併腦功能障礙存在脫髓鞘病理改變,檢測腦脊液、血液髓鞘堿性蛋白以及頭顱磁共振掃描有助于診斷脫髓鞘病變.重癥急性胰腺炎腦功能障礙的診斷與治療尚需大量臨床經驗的積纍,以及髮病機製的探索.
목전인식도중증급성이선염합병뇌공능장애존재탈수초병리개변,검측뇌척액、혈액수초감성단백이급두로자공진소묘유조우진단탈수초병변.중증급성이선염뇌공능장애적진단여치료상수대량림상경험적적루,이급발병궤제적탐색.
Severe acute pancreatitis is sometimes complicated by a syndrome of cerebral dysfunction, referred to as pancreatic encephalopathy. Demyelination is found in autopsy and considered as basic pathologic evidence in patients with pancreatic encephalopathy. Myelin basic protein detection in cerebrospinal fluid and blood, combined with magnetic resonance imaging scan might indicate the demyelinatic change. Further large-scale study on both pathogenesis and diagnosis of this disease is needed.