急性胰腺炎少见病因的临床分析

Clinical Analysis of Uncommon Origins of Acute Pancreatitis

目的探讨引起急性胰腺炎的少见病因,提高对少见病因引发急性胰腺炎的认识。方法分析2001年1月～2008年12月在我院诊断急性胰腺炎的患者442例。结果其中29例患者为少见病因,其具体病因为:蛔虫占10例(2.26%),HIV占4例(0.9%),腮腺炎病毒占4例(0.9%),SLE占1例(0.23%),胰腺分裂占4例(0.9%),恶性肿瘤占5例(1.14%),高钙血症占1例(0.23%)。结论一些少见病因可致急性胰腺炎,提高对病因的认识有助于早期诊治,尽早改善预后。

Objective To investigate the causes and improve the identifcation of acute pancreatitis （AP） of uncommon origins. Methods The clinical date in 442 casas of AP admitted to Guidong People＇s Hospital from Jan, 2001 to Dec, 2008 were analyzed. Results The diagnosis was finally made in 29 cases, of which ascaris was found in 10 cases （2.26%） and HIV in 4 cases （0.9%）, mumps vires in 4 cases （0.9%）, pancreas divisum in 4 cases （0.9%）, one patient with SLE（0.23%）, one patient with hypercalcemia（0.23%）, malignant tumor in 5 cases（1. 14%）. Conclusion Acute pancreatitis can result from rare causes, of which recognition will contribute to early diagnosis and treatment so as to improve prognosis as soon as possible.