急性胰腺炎少见病因分析

Uncommon etiological analysis of acute pancreatitis

目的 分析近年来急性胰腺炎少见病因的变化及发病特点,以增加对少见因素所致急性胰腺炎的认识.方法 回顾性分析我院2008年1月～2012年6月急性胰腺炎患者的病例资料,去除常见病因,并对159例少见病因进行分析.结果 特发性（36.48％）、医源性（19.50％）和胰腺癌（13.21％）是少见病因胰腺炎的主要构成部分；少见病因中发现了嗜酸性胰腺炎等国内外较少报道诱因；少见病因临床发病种类有增多趋势.结论 少见病因胰腺炎发病种类增多,临床上应注意急性胰腺炎少见病因的分析,加强对因治疗.

Objective To investigate the changes and characteristics of uncommon etiologies in acute pancreatitis （AP）,and improve the understanding of this disease.Methods The clinical data of the patients with acute pancreatitis in our hospital from Jan.2008 to Jun.2012 were retrospectively analyzed.All cases with common causes were removed and 159 cases with rare causes were recruited.Results Ten rare causes were fanally analyzed.Idiopathic（36.48％）,iatrogenic（19.50％） and pancreatic cancer （13.21％） were the main components of rare causes in AP.Eosinophilic pancreatitis was less reported.Conclusion More cases with rare causes occurred in AP.More attentions should be paid on the clinical analysis of rare causes in AP,and etiological treatment should be followed.