本文报道小儿急性胰腺炎23例,男女发病无差异,临床表现主要为腹痛、呕吐、发热,无黄疸与休克发生,血清淀粉酶均在500u以上(Somogyl法),尿淀粉酶同样增高,但不规则;18例作B超检查,13例显示胰腺体积增大,回声低,3例胰腺回声稍不均匀,包膜欠光整。均采用保守治疗,予抗生素控制感染,维持水、电解质子衡,止痛等治疗,平均9.1天治愈出院,预后一般良好。 This article reports 23 children with acute pancreatitis, the incidence of men and women was no difference, the main clinical manifestations of abdominal pain, vomiting, fever, jaundice and shock occurred, serum amylase were more than 500u (Somogyl method), urinary amylase also increased, but not Rules; 18 cases for B-ultrasound, 13 cases of pancreas showed increased volume, low echo, 3 cases of pancreatic echo slightly uneven, the whole capsule less light whole. All patients were treated conservatively. Antibiotics were used to control infection, maintain water and electrolyte balance, and relieve pain. The patients were cured and discharged on average 9.1 days. The prognosis was generally good.