45例急性复发性胰腺炎诊治观察

Observation of diagnosis and treatment of 45 cases of acute recurrent pancreatitis

目的:对急性复发性胰腺炎诊断和治疗情况进行分析。方法:选取急性复发性胰腺炎患者45例,对发病因素、诊断、治疗结果进行分析。结果:45例患者存在不同程度的慢性胆囊疾病40例,其中胆囊炎、胆囊息肉手术患者16例,胆囊结石患者12例,高血脂患者12例,5例患者无胆囊疾病,胰腺炎合并胆囊疾病患者对比单纯胰腺炎患者,差异具有统计学意义(P<0.05)。两组患者均进行系统的临床治疗,无死亡病例和严重不良后果发生。结论:胆囊疾病是导致胰腺炎发病和复发的主要因素,针对于胰腺炎合并胆囊疾病患者应注意胆囊疾病的诊断和治疗,可预防和减少胰腺炎的发生和发展,针对胰腺炎患者具有重要的临床价值。

Objective To analyze the diagnosis and treatment of acute recurrent pancreatitis. Methods The epidemic factor,diagnosis and treatment of 45 cases of acute recurrent pancreatitis were analyzed. Results There were 40 cases of different degree of chronic gall-bladder disease,cholecystitis and history of gallbladder operation 16 cases,gallstone 12 cases,hyperlipidemia 12 cases. 5 patients has no gallbladder diseases. The difference between patients of pancreatitis combined with gallbladder diseases and patients of simple pancreatitis was significantly,the difference was statistically significant（P ﹤ 0. 05）. All the patients were all treated by systematic treatment,no death and serious adverse consequences happened. Conclusion Gallbladder diseases is the major factor which could cause pancreatitis morbidity and recurrence. The diagnosis and treatment on gallbladder diseases for the patients of pancreatitis combined with gallbladder diseases could prevent and reduce pancreatitis,it＆#39;s important for the patients of pancreatitis.