141例急性胰腺炎病因及临床特点分析

Analysis of Etiology and Clinical Characteristics of 141 Cases of Acute Pancreatitis

目的研究急性胰腺炎的病因及相关临床特点。方法选取2017年1月—2018年12月我院消化内科住院诊治的急性胰腺炎患者141例作为研究对象,对性别、年龄、病因、住院时间、是否为复发、并发症、转归等进行统计学分析。结果急性胰腺炎常见病因是胆源性(36.9%)、高血脂性(30.5%)、酒精(9.9%),有13.4%为特发性;大多数急性胰腺炎临床疗效良好(92.90%),胆源性急性胰腺炎平均住院时间更长;急性胰腺炎复发率高,高血脂是主要原因;常见并发症为肝功能受损、一过性血糖升高、电解质紊乱。结论胆系疾病、高脂血症是急性胰腺炎主要病因,积极处理病因是防止急性胰腺炎复发的关键所在。

Objective To study the etiology and clinical characteristics of acute pancreatitis. Methods 141 patients with acute pancreatitishospitalized from January 2017 to December 2018 in the Department of digestive medicine of our hospital were selected as the study subjects. Statistical analysis was made on sex, age, etiology, length of stay, recurrence, complications and prognosis. Results The common causes of acute pancreatitis were biliary(36.9%), hyperlipidemia(30.5%) and alcohol(9.9%), and 13.4% were idiopathic. Most acute pancreatitis have good clinical efficacy(92.90%). The average hospitalization time of biliary acute pancreatitis was longer. Acute pancreatitis has a high recurrence rate, and hyperlipidemia is the main cause. Common complications include impaired liver function, transient elevated blood sugar and electrolyte disturbance. Conclusion Biliary diseases and hyperlipidemia are the main causes of acute pancreatitis. Active treatment of the causes is the key to prevent the recurrence of acute pancreatitis.