Symptoms of acute pancreatitis in children

summary

Acute pancreatitis (AP) is a chemical inflammatory disease in which pancreatic digestive enzymes are activated in the pancreas due to various reasons. It is rare in children. Let's talk about the symptoms of acute pancreatitis in children

Symptoms of acute pancreatitis in children

1. All or part of the pancreas is edematous and congestive. The volume of the pancreas is enlarged and the excretion of pancreatic juice is blocked. As a result, the amylase in blood and urine is increased. The main symptom was epigastric pain, which was persistent and often accompanied by nausea and vomiting. Vomitus was food and secretion of stomach and duodenum. Abdominal distension was found in severe cases, and epigastric tenderness (to the left or right of the umbilicus) was the only sign of the abdomen.

2. The general symptoms were critical, and they began to be restless, followed by hypotension, shock, dyspnea, oliguria or anuria, conscious abdominal pain was severe, inconsistent with abdominal pain signs, periumbilical and supraumbilical tenderness and peritoneal irritation. The umbilicus or waist skin of individual children is cyan purple, which is caused by subcutaneous fat decomposed by spilled pancreatic juice and capillary bleeding

3. Early complications include water and electrolyte disorders, hypocalcemia and tetany. In the later stage, pancreatic abscess, pseudocyst and chronic pancreatitis can be found. When the pancreatic parenchyma is inflamed, the islet cells are also damaged, affecting the glucose metabolism, so it can be complicated with diabetes mellitus. When a large number of exudates including pancreatic juice flow into the abdominal cavity and cause diffuse peritonitis, shock and even death can occur.

matters needing attention

After 3-7 days of non-surgical treatment, the symptoms of acute pancreatitis disappear and gradually recover. Hemorrhagic and necrotizing pancreatitis is serious, may die of shock, acute remission after recovery of a longer course of disease, can also form a localized abscess, and may be left with pseudopancreatic cyst. Avoid overeating, timely treatment of pancreatic duct and other diseases that can cause pancreatic injury