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Это осложнение острого панкреатита, при котором ткани железы самоперевариваются и отмирают [2](https://celitel05.ru/wiki/bolezni-organov-pishevareniya/pankreonekroz-prichiny-simptomy-metody-lecheniya/)[5](https://MedAboutMe.ru/articles/pankreonekroz_prichiny_simptomy_lechenie/). Без своевременной терапии вероятность летального исхода превышает 80% [2](https://celitel05.ru/wiki/bolezni-organov-pishevareniya/pankreonekroz-prichiny-simptomy-metody-lecheniya/).\n\n## Причины\nНекоторые причины панкреонекроза: \n* **Злоупотребление алкоголем** — хроническое употребление алкоголя может вызвать воспаление поджелудочной железы, что со временем приводит к некрозу [7](https://slavutich.su/diseases/pankreonekroz/). \n* **Желчнокаменная болезнь** — закупорка желчных протоков камнями может вызвать воспаление поджелудочной железы [3](https://diamed-tula.ru/pankreonekroz). \n* **Травмы живота** — механическое повреждение области поджелудочной железы может спровоцировать воспаление и некроз тканей [7](https://slavutich.su/diseases/pankreonekroz/). \n* **Инфекции** — вирусные и бактериальные инфекции могут способствовать развитию заболевания [3](https://diamed-tula.ru/pankreonekroz)[7](https://slavutich.su/diseases/pankreonekroz/).\n\n## Симптомы\nНекоторые симптомы панкреонекроза: \n* **Интенсивная опоясывающая боль** — отдаёт в левое плечо, левую часть живота, поясницу [11](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/pankreonekroz/)[12](https://www.smclinic.ru/diseases/pankreonekroz/). \n* **Многократная частая рвота** — не приносит облегчения, возникает вне связи с едой [11](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/pankreonekroz/)[12](https://www.smclinic.ru/diseases/pankreonekroz/). Рвотные массы содержат кровь, комки желчи [11](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/pankreonekroz/). \n* **Вздутие кишечника, задержка газов** [11](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/pankreonekroz/). \n* **Отсутствие стула** [11](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/pankreonekroz/). \n* **Повышение температуры тела** до фебрильных (38–39°С) значений [11](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/pankreonekroz/). \n* **Возбуждение, спутанность сознания** — при поражении головного мозга [11](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/pankreonekroz/).\n\n## Диагностика\nДля подтверждения диагноза проводят комплексное обследование [14](https://doct.ru/diseases/pankreonekroz.html): \n* **Лабораторные исследования** — определение содержания альфа-амилазы в крови и моче [14](https://doct.ru/diseases/pankreonekroz.html). \n* **Инструментальные методы** — обзорное рентгенографическое исследование брюшной полости, ультразвуковое сканирование, КТ и МРТ поджелудочной железы [14](https://doct.ru/diseases/pankreonekroz.html). \n* **В отдельных случаях** — эндоскопическая ретроградная холангиопанкреатография (ЭРХПГ) и диагностическая лапароскопия для уточнения степени повреждения тканей [14](https://doct.ru/diseases/pankreonekroz.html).\n\n## Лечение\nЛечение панкреонекроза зависит от стадии заболевания [3](https://diamed-tula.ru/pankreonekroz): \n* **Консервативная терапия** — госпитализация для наблюдения и симптоматической терапии, введение препаратов для контроля боли, рвоты и поддержания водно-электролитного баланса, ограничение приёма пищи (на первом этапе может быть назначено голодание) [3](https://diamed-tula.ru/pankreonekroz). \n* **Хирургическое лечение** — дренирование абсцессов и некротических тканей, резекция части поджелудочной железы в случае обширного некроза [3](https://diamed-tula.ru/pankreonekroz). \n* **Интенсивная терапия** — введение антибиотиков для борьбы с инфекцией, поддержка функции органов в условиях интенсивной терапии (например, при нарушении функции почек) [3](https://diamed-tula.ru/pankreonekroz). \n\n**Важно немедленно обратиться за медицинской помощью** при подозрении на панкреонекроз [3](https://diamed-tula.ru/pankreonekroz).","linksData":[{"sourceId":1,"url":"https://semeynaya.ru/directions/khirurgiya/pankreonekroz/","shownUrl":"https://semeynaya.ru/directions/khirurgiya/pankreonekroz/","title":"Панкреонекроз","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":2,"url":"https://celitel05.ru/wiki/bolezni-organov-pishevareniya/pankreonekroz-prichiny-simptomy-metody-lecheniya/","shownUrl":"https://celitel05.ru/wiki/bolezni-organov-pishevareniya/pankreonekroz-prichiny-simptomy-metody-lecheniya/","title":"Панкреонекроз — причины, симптомы, методы лечения — Справочник заболеваний. 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