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患者,女性,44岁。5个月前夜间突发性上腹部剧痛,向腰部放射,诊断为急性胰腺炎,予以保守治疗。2个月前CT扫描提示轻度胰腺炎。胃镜检查为慢性浅表性萎缩性胃炎。1周前经ERCP检查发现胰头、体部胰腺管模糊略扩张、扭曲,提示慢性轻度胰腺炎。5个多月来,上腹部持续刺痛,时轻时重,每天需注射654-2 3～4次,间断注射哌替啶解痉止痛,纳差。体检:痛苦面容,消瘦,剑突下及左上腹部压痛,拒按。血及尿淀粉酶正
Patient, female, 44 years old. 5 months ago night sudden upper abdominal pain, radiation to the waist, the diagnosis of acute pancreatitis, to be conservative treatment. 2 months ago CT scan prompted mild pancreatitis. Gastroscopy for chronic superficial atrophic gastritis. A week ago by the ERCP examination revealed pancreatic head and body pancreatic duct fuzzy slightly dilated, distorted, suggesting that chronic mild pancreatitis. More than 5 months, the upper abdomen continued tingling, when light weight, 654-2 3 ~ 4 times a day to be injected, intermittent injection of pethidine antispasmodic analgesic, anorexia. Physical examination: painful face, weight loss, under the xiphoid and upper left abdomen tenderness, refused to press. Blood and urine amylase positive