中国全科医学 ›› 2022, Vol. 25 ›› Issue (23): 2942-2946.DOI: 10.12114/j.issn.1007-9572.2022.0044

所属专题: 胰腺炎最新文章合集 高血压最新文章合集

• 典型病例研究 • 上一篇    

恶性高血压致急性胰腺梗死一例报道

白云, 王鼎鑫, 孙延召, 郑吉敏, 张建, 王玉珍, 刘改芳*()   

  1. 050000 河北省石家庄市,河北省人民医院消化科
  • 收稿日期:2021-12-27 修回日期:2022-02-10 出版日期:2022-08-15 发布日期:2022-05-26
  • 通讯作者: 刘改芳
  • 白云,王鼎鑫,孙延召,等.恶性高血压致急性胰腺梗死一例报道[J]. 中国全科医学,2022,25(23):2942-2946. [www.chinagp.net]
    作者贡献:白云进行文章的构思与设计及论文的撰写和修订;王鼎鑫、孙延召、张建进行文献 / 资料收集和整理;郑吉敏负责文章审校,参与分析与讨论;王玉珍对文章整体负责,监督管理;刘改芳负责文章的质量控制。

Acute Pancreatic Infarction Caused by Malignant Hypertension: a Case Report

Yun BAI, Dingxin WANG, Yanzhao SUN, Jimin ZHENG, Jian ZHANG, Yuzhen WANG, Gaifang LIU*()   

  1. Department of Gastroenterology, Hebei General Hospital, Shijiazhuang 050000, China
  • Received:2021-12-27 Revised:2022-02-10 Published:2022-08-15 Online:2022-05-26
  • Contact: Gaifang LIU
  • About author:
    BAI Y, WANG D X, SUN Y Z, et al. Acute pancreatic infarction caused by malignant hypertension: a case report[J]. Chinese General Practice, 2022, 25 (23) : 2942-2946.

摘要: 恶性高血压(MHT)是常见的高血压急症,病情一般进展较快,常累及心、脑、肾等重要靶器官,导致器官功能不全。血栓性微血管病(TMA)是MHT的严重并发症之一,以微循环中血栓形成导致组织器官功能受损为主要特点,大多病情危重,预后差。MHT靶器官损害中胰腺受累罕见,由于对其认识不足,临床缺乏早期诊断及治疗的经验,导致患者预后极差,病死率高。本文报道了1例MHT致急性胰腺梗死病例的诊断及治疗过程,以期为临床工作提供借鉴。

关键词: 高血压,恶性, 急性胰腺梗死, 血栓性微血管病, 病例报告

Abstract:

Malignant hypertension is a common hypertensive emergency, which generally progresses rapidly, often affects important target organs such as the heart, brain, and kidney, leading to organ insufficiency. Malignant hypertension may develop serious complications, among which thrombotic microangiopathy is mainly characterized by impaired tissue and organ functions due to thrombosis in the microcirculation, with critical condition and poor prognosis generally. Pancreatic involvement in malignant hypertension is rare, whose prognosis may be extreme poor and mortality may be high due to insufficient understanding of it, and lack of clinical evidence on its early diagnosis and treatment. We reported the diagnosis and treatment of a case of acute pancreatic infarction caused by malignant hypertension, aiming at providing a reference for clinical practice.

Key words: Hypertension, malignant, Acute pancreatic infarction, Thrombotic microangiopathies, Case reports