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目的探讨急性胰腺炎的常见病因、诊断分类与预后的临床分布情况,为提高急性胰腺炎的防治提供依据。方法回顾性分析2012年1月至2014年12月收治住院的1 143例急性胰腺炎患者的临床资料,观察其发病原因、诊断分类及预后分布情况。结果 1 143例急性胰腺炎病例中,胆源性为592例(51.8%),酒精性为97例(8.5%),高脂血症性为161例(14.1%),饮食性为92例(8.0%),特发性为83例(7.3%),其他类型为118例(10.3%);其中重症(SAP)223例(19.5%),轻症(MAP)920例(80.5%);不同病因SAP、MAP发生率及预后比较无统计学差异(P均>0.05);而SAP患者预后较差,未治愈和死亡发生率较高。结论胆源性和高脂血症性是急性胰腺炎的主要病因类型,SAP发生率高且预后较差。
Objective To investigate the common etiology, diagnosis, classification and prognosis of acute pancreatitis and provide the basis for prevention and treatment of acute pancreatitis. Methods The clinical data of 1 143 cases of acute pancreatitis admitted to our hospital from January 2012 to December 2014 were analyzed retrospectively. The causes, diagnosis classification and prognosis were observed. Results Among the 1 143 acute pancreatitis cases, 592 (51.8%) had biliary origin, 97 (8.5%) had alcohol, 161 (14.1%) had hyperlipidemia and 92 83% (7.3%) were idiopathic and 118 cases (10.3%) were other types. Among them, 223 (19.5%) were severe and 920 (80.5%) were mild There was no significant difference in the incidence of SAP and MAP between the two groups (P> 0.05). However, the prognosis of patients with SAP was poor, and the incidence of non-cure and death was higher. Conclusion Biliary and hyperlipidemia are the main causes of acute pancreatitis. The incidence of SAP is high and the prognosis is poor.