82例急性胰腺炎患者的诊疗分析

Eighty-two cases of acute pancreatitis in patients with the diagnosis an treatment analysis

目的:探讨急性胰腺炎的临床特点、诊断和治疗的若干问题。方法:对1996年1月～2007年1月期间住院的急性胰腺炎患者82例作回顾性分析,总结其临床特点,并对不同的诊断方法进行评价。对急性胰腺炎的诊断标准提出意见。结果:腹痛为急性胰腺炎的必有症状,呕吐后腹痛不缓解可与急性胃炎相区别。症状、血清酶学及影像检查三者结合可对急性胰腺炎作出正确诊断。腹部CT对诊断有重要价值。每个急性胰腺炎患者均须给予严密监测,以防止其病情发展为急性重症胰腺炎。凡腹痛严重伴有1个以上的脏器功能障碍表现者,即应考虑为急性重症胰腺炎,并及时治疗。结论:急性胰腺炎为常见病,近年来有增多趋势。重症胰腺炎预后凶险,须提高警惕早期诊断,并予以有效治疗。

Objective：To investigate the clinical features of acute pancreatitis, diagnosis and treatment of a number of issues. Methods：Ways of January 1996 to January 2007 during the hospitalization in patients with acute pancreatitis 82 cases were analyzed retrospectively summarized the clinicaI characteristics; of different diagnostic methods evaluated. Of the diagnostic criteria for acute pancreatitis comments. Results：The results of abdominal pain as there must be symptoms of acute pancreatitis, vomiting, abdominal pain not eased after can be differentiated from acute gastritis. Symptoms, serum enzyme and imaging combination can make a correct diagnosis of acute pancreatltis. Abdominal CT in the diagnosis has significant value. Each must be given to patients with acute pancreatitis closely monitored to prevent its progression to severe acute pancreatitis. Where severe abdominal pain accompanied by more than one performance of organ dysfunction, that should be considered for severe acute pancreatitis and timely treatment. Conclusion：Acute pancreatitis as a common disease, there is a growing trend in recent years. Prognosis of severe acute pancreatitis dangerous, to be alert for early diagnosis, and effective treatment.