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目的:针对临床急性胰腺炎患者病因及特点进行分析研究。方法:收集40例急性胰腺炎有关资料,按照患者病因进行分类统计,对不同年龄患者的特征进行比较。结果:在急性胰腺炎病因上,有24例患者为胆源性,占60%;5例患者为酒精性,占12.5%;4例患者为高脂血症性,占10%,3例患者为原因不明特发性,占7.5%;2例患者为胰腺分裂异常,占5%;2例患者为其它原因,占5%。有30例急性胰腺炎患者为轻症,占75%;10例急性胰腺炎患者为重症,占25%。总治愈好转率高达92.5%,3例患者病亡,病死率7.5%。随不断增长的年龄,重症急性胰腺炎患者发病率显著升高,急性胰腺炎并发症显著增加(P<0.05)。结论:急性胰腺炎的首要病因是胆道因素,其余依次是酒精性、高脂血症性。老年患者并发症及死亡率更高,在临床治疗中应提高对老年患者的监控。
Objective: To analyze the etiology and characteristics of patients with clinical acute pancreatitis. Methods: The data of 40 cases of acute pancreatitis were collected and classified according to the etiology of the patients. The characteristics of patients with different ages were compared. Results: In the etiology of acute pancreatitis, 24 patients were biliary, accounting for 60%; 5 patients were alcoholic, accounting for 12.5%; 4 patients were hyperlipemia, accounting for 10%; 3 patients For unexplained idiopathic, accounting for 7.5%; 2 patients with pancreatic anaplasty, accounting for 5%; 2 patients for other reasons, accounting for 5%. Thirty patients with acute pancreatitis were mild, accounting for 75%. Ten patients with acute pancreatitis were critically ill, accounting for 25%. The total cure rate as high as 92.5%, 3 patients died, the mortality rate of 7.5%. With the increasing age, the incidence of severe acute pancreatitis patients increased significantly, complications of acute pancreatitis increased significantly (P <0.05). Conclusion: The primary cause of acute pancreatitis is biliary tract factors, followed by alcohol and hyperlipidemia. Elderly patients have higher morbidity and mortality and should be monitored in older patients in clinical settings.