急性胰腺炎126例临床特点分析

Clinical characteristics of acute pancreatitis: an analysis of 126 cases

目的:对急性胰腺炎的临床特征进行分析。方法:选择某院2011年5月-2015年5月时期急性胰腺炎患者126例,对其临床资料进行回顾性分析。结果:126例患者中,胆道疾病患者71例,高脂血症患者26例,酗酒者24例。发病人群为中青年为主,腹痛为最常见症状。血清淀粉酶水平高出正常上限者占90.9%,影像学检查阳性率为96.8%。治疗以综合性治疗为主,早期应用生长抑素,有继发坏死者及时手术。结论:胆道疾病、酗酒以及高脂血症是急性胰腺炎最常见的病因,应积极防治原发疾病或诱因。治疗以非手术的综合性治疗为主,具有手术指征的重症胰腺炎患者应及时进行手术治疗。

Objective： To analyze the clinical features of acute pancreatitis. Methods： We selected 126 cases of patients with acute pancreatitis from May 2011 to May 2015,and analyzed the clinical data. Results： Of the 126 cases of patients,71 had biliary tract disease,26 had hyperlipidemia,and 24 cases were alcoholics. The main part of the patients was the young and middle-aged. Abdominal pain was the most common symptom. 90. 9% of the patients had their serum amylase level higher than the normal limit,and the imaging examination positive rate was 96. 8%. All the patients were given comprehensive treatment. Early application of somatostatin and timely operation were given to the secondary necrosis. Conclusion： Biliary disease,alcoholism and hyperlipidemia are the most common etiology of acute pancreatitis,which should be given active prevention and treatment. Non-operative comprehensive treatment is the main treatment strategies. Surgical treatment is advised in severe acute pancreatitis patients with surgical indications.