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急性胰腺炎126例临床特点分析 被引量:4

Clinical characteristics of acute pancreatitis: an analysis of 126 cases
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摘要 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.
作者 郑胜
出处 《淮海医药》 CAS 2016年第3期282-283,286,共3页 Journal of Huaihai Medicine
关键词 胰腺炎 急性坏死性 临床特点 Pancreatitis acute necrotizing Clinical characteristics
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