1病例报告患者男,65岁。因“间断腹痛、腹胀6个月,加重1周”入院。患者6个月前无明显诱因出现腹痛,以上腹部为主,呈阵发性绞痛,向左背部放射,疼痛与进食、体位无关,伴腹胀,排便、排气减少。就诊于当地某医院,实验室检查显示血淀粉酶升高2倍;腹部超声检查示胆囊结石、胰腺增大;胃镜示慢性非萎缩性胃炎;电子结肠镜未见异常。诊断为急性胰腺炎,给予禁食、抗炎、抑酸、抑制胰酶分泌等治疗,病情缓解。此后6个 1 case report Patient male, 65 years old. Because of “intermittent abdominal pain, abdominal distension 6 months, increased 1 week ” admission. 6 months ago, no obvious incentive to patients with abdominal pain, mainly in the abdomen, was paroxysmal colic, radiating to the left back, pain and eating, body position has nothing to do with abdominal distension, defecation, reduced exhaust. Visits to a local hospital, laboratory tests showed that blood amylase increased 2-fold; abdominal ultrasound showed gallstones, pancreas increased; gastroscopy showed chronic non-atrophic gastritis; electronoscopy was normal. Diagnosis of acute pancreatitis, given fasting, anti-inflammatory, acid suppression, inhibition of pancreatic enzyme secretion and other treatment, remission. After 6