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首页> 外文期刊>World Journal of Gastroenterology >Infected pancreatic necrosis: Not necessarily a late event in acute pancreatitis
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Infected pancreatic necrosis: Not necessarily a late event in acute pancreatitis

机译：感染的胰腺坏死：在急性胰腺炎中不一定是晚期事件

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It is widely believed that infection of pancreatic necrosis is a late event in the natural course of acute pancreatitis. This paper discusses the available data on the timing of pancreatic infection. It appears that infected pancreatic necrosis occurs early in almost a quarter of patients. This has practical implications for the type, timing and duration of preventive strategies used in these patients. There are also implications for the classification of severity in patients with acute pancreatitis. Given that the main determinants of severity are both local and systemic complications and that they can occur both early and late in the course of acute pancreatitis, the classification of severity should be based on their presence or absence rather than on when they occur. To do otherwise, and in particular overlook early infected pancreatic necrosis, may lead to a misclassification error and fallacies of clinical studies in patients with acute pancreatitis.
机译：人们普遍认为，胰腺坏死的感染是急性胰腺炎自然过程中的晚期事件。本文讨论了有关胰腺感染时机的可用数据。似乎感染的胰腺坏死发生在近四分之一的患者中。这对这些患者使用的预防策略的类型，时机和持续时间具有实际意义。急性胰腺炎患者的严重程度分级也有影响。鉴于严重程度的主要决定因素是局部和全身并发症，而且它们可以在急性胰腺炎的早期和晚期发生，因此，严重程度的分类应基于其是否存在而不是发生的时间。否则，尤其是忽略了早期感染的胰腺坏死，可能导致急性胰腺炎患者的分类错误和临床研究的谬误。

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