重症急性胰腺炎病因分析

Etiological Analysis of Severe Acute Pancreatitis

目的探讨重症急性胰腺炎(SAP)的病因。方法回顾性分析福建医科大学附属漳州市医院2008年4月—2012年10月住院治疗的105例SAP患者的临床资料。结果 105例患者中胆源性SAP 36例(34.3%),特发性SAP34例(32.4%)、高脂血症性SAP28例(26.7%)、酒精性SAP4例(3.8%)、其他(十二指肠乳头憩室并憩室炎、乳头占位等)3例(2.9%)。老年组胆源性SAP构成比高于非老年组,差异有统计学意义(P<0.01);高脂血症性SAP构成比非老年组高于老年组,差异有统计学意义(P<0.01)。结论胆源性SAP最常见,在老年SAP患者中占比较高,女性多于男性;高脂血症性SAP多见于中青年患者。

Objective To analyze the etiology of severe acute pancreatitis （SAP）. Methods The clinical data of 105 patients with SAP in Zhangzhou Hospital Affiliated to Fujian Medical University from April 2008 to October 2012 were retro- spectively analyzed. Results In the 103 cases, 36 cases （34. 3% ） was biliary SAP, 34 cases （32.4%） was diopathic SAP, 28 cases （26. 7% ） was hyperlipemic SAP, 4 cases （3.8%） was alcoholic SAP, 3 cases （2. 9% ） was other causes. The proportion of biliary SAP in the elderly group was higher than that in the non - elderly group, the difference was statistically significant （P 〈 0. 01 ）. The proportion of hyperlipemic SAP in the non - elderly group was higher than that in the elderly group, the difference was statistically significant （P 〈 0. 01 ）. Conclusion Biliary SAP is the most common type, which proportion is higher in elderly patients, and higher in female than in male. The proportion hyperlipemic SAP is higher in the young patients.