COURSE AND DIAGNOSIS OF ACUTE PANCREATITIS IN CHILDREN
Abstract
Relevance. Acute pancreatitis is one of the most severe diseases of the digestive system and if not diagnosed in time, complications may develop. The aim of the study. To determine the diagnostic criteria for acute pancreatitis. Materials and methods of the study. An examination of 25 children aged 9 to 15 years with acute pancreatitis was conducted. All patients underwent a general blood, urine and feces analysis, a biochemical blood test, as well as an ultrasound examination of the pancreas and liver. Research results and discussion. According to the survey results, 100% of patients experienced the onset of pain within the first 1.5-2 hours, and patients accurately indicated the location of the pain. Of these, 59% of patients experienced severe, stabbing pain in the epigastric region, and 33% experienced pain in the left side. After 2-3 hours, the pain radiated to the lower back and spine, and 6.3% to the left shoulder. Patients often experience nausea, vomiting, dry mouth, constipation, flatulence, increased sweating, and weakness. Positive symptoms of Shchetkin-Blumberg, Kerte, Kacha, Mayo-Robson were noted during palpation. Conclusions. Mondoran's triad is an accurate universal method for diagnosing acute pancreatitis in children. The clinical picture characteristic of the early stage of acute pancreatitis is as follows: acute, constant stabbing pain in the epigastric region, often radiating to the abdominal region and accompanied by dyspeptic disorders. The disease can be confirmed by palpation (Shchetkin-Blumberg, Kerte, Kacha, Mayo-Robson symptoms).