急性胰腺炎临床52例诊治分析

Diagnosis and Treatment of Acute Pancreatitis:Report of 52 case

目的:总结急性胰腺炎(AP)的临床特点和治疗方法,以提高临床医生对此病的诊治水平。方法:回顾分析某院52例急性胰腺炎的病因及治疗效果。结果:胆源性AP 32例(61.5%);暴饮暴食及酒后引起的AP 11例(21.2%);高脂血症性AP 9例(17.3%)。52例患者中,41例经内科治愈好转出院,6例转外科手术治疗,3例自动出院,1例死亡,1例转上级医院。结论:高脂血症和胆石症是急性胰腺炎的主要病因,内科综合保守治疗和严格掌握手术适应证是治疗急性胰腺炎的关键,可以降低急性胰腺炎的病死率。

Objection： To review the clinical characteristics and treatments of acute pancreatitis,In order to improve clinical doctors the disease treatment level.Methods： retrospective analysis 52 cases of acute pancreatitis etiology and treatment effect.Results： Among the 52 AP patients,32（61.5%）were biliary pancreatitis,11（21.2%） were Over-eat and drunken caused pancreatitis,9（21.2%）were hyperlipidemic pancreatitis.There were 41 patients who were discharge for cure or improvement by internal medication,6 cases were transferred for surgical treatment,3 cases gave up the treatment,1 cases died,1 cases transfer to higher hospital.Conclusion： Hyperlipidemic and biliary pancreatitis are of high morbidity in acute pancreatitis.The keys to treatment of acute pancreatitis are comprehensive medical treatment and strictly grasping the indication of operation so as to reduce the mortality of the disease.