期刊文献+

急诊科急性胰腺炎单中心回顾性临床分析 被引量:6

A single center clinical retrospective study of acute pancreatitis in emergency department
原文传递
导出
摘要 目的:回顾性分析我院急性胰腺炎(AP),特别是重症急性胰腺炎(SAP)和高脂血症性急性胰腺炎(HLAP)的概况。方法:选取我院2010-01-2016-12期间共1 345例AP患者的住院资料,重点分析2012-01-2016-03急诊科病房(留观及监护室)收治入院的341例AP患者的临床资料,包括人口学特征、疾病严重程度等级、病因及实验室资料等。结果:1 345例AP患者平均发病年龄为(54.16±16.83)岁,男女比例为1.46∶1,病死率为1.56%。期间,急诊科的AP诊治比例自2010年的16%上升至2015年59%。其中2012-01-2016-03急诊科收治的341例AP住院患者,共有SAP 22例(死亡5例)、轻度急性胰腺炎(MAP)155例、中度急性胰腺炎(MSAP)164例。平均住院天数上,MAP组要少于MSAP组(P<0.05)。其在病因分布上,依次为胆源性急性胰腺炎(BAP)74例,酒精性急性胰腺炎(AAP)36例、HLAP14例。在HLAP组中,SAP所占比例明显高于其在BAP组以及AAP组(P<0.05)。其中,118例AP伴有高甘油三酯血症(HTG),其复发率远高于223例不伴HTG的AP(P<0.05)。结论:AP在急诊科的诊治比例呈逐年上升趋势。急诊科已成为承担AP诊治工作的主要科室。另外,高脂血症性AP有年轻化趋势,好发于男性,病情更重。而伴随HTG的AP患者更易复发。 Objective:To retrospective study the clinical characteristics of acute pancreatitis (AP) ,especially in severe acute pancreatitis (SAP) and hyperlipidaemic acute pancreatitis (HLAP) in Renji hospital. Method:Analyze and summarize the clinical characteristics of AP medical records of all departments in the hospital from January 2010 to December 2016, focus on analyzing demographic characteristics, severity classification, etiology and laboratory data in emergency department (emergency observation wards and emergency intensive care unit) from January 2012 to March 2016. Result.. Through seven years,from January 2010 to December 2016,a total of 1345 cases of AP onset with the age 54.16±16.83 yeas,the sex ratio was 1.46: 1 ,the overall cases fatality rate was 1.56% in the hospital. During the time, the proportion of AP treatment in emergency department arose from 16 %0,2010 to 59 %, 2015. 341 cases of AP in emergency department was consisted of 22 cases of SAP (5 died),155 cases of mild acute pancreatitis (MAP) and 164 cases of morderately severe acute pancreatitis (MSAP). The length of the hospitalization days of MAP was less than MSAP (P〈0.05). In the etiology distribution,the most cases still were biliogenic acute pancreatitis (BAP), 74 cases, then alcohol acute pancreatitis (AAP, 36 cases) and HLAP (14 cases). There were 2 cases SAP in HLAP,the proportion of which was obviously higher than SAP in BAP and AAP (P〈0.05). The relapse frequency of 118 cases from the 341 cases AP accompanied with hypertriglyceridemia (HTG)was sig- nificantly higher than that of 223 cases of AP without HTG (P〈0.05). Conclusion: Emergency department has be- come the main department to undertake the treatment of AP, as a result of the proportion of AP treatment in emer- gency department arose by years. In addition, HLAP occurs mostly among younger population, especially males, and more serious than other causes of AP. With HTG,AP patients are more likely to relapse.
作者 张瑞雪 陆晓晔 陈婉珺 刘黎 许青青 许浩 郭建 朱长清 ZHANG Ruixue LU Xiaoye CHEN Wanjun LIU Li XU Qingqing XU Hao GUO Jian ZHU Changqing(Department of Emergency, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China)
出处 《临床急诊杂志》 CAS 2017年第3期217-220,共4页 Journal of Clinical Emergency
基金 上海市科学技术委员会科研计划项目(No:16441900102)
关键词 急性胰腺炎 重症胰腺炎 高甘油三酯血症 急诊科 acute pancreatitis severe pancreatitis hypertriglyceridemia emergency department
  • 相关文献

参考文献6

二级参考文献55

  • 1黄鹤,贾柳萍,谢春生,古雨平,王海霞.广东南海地区急性胰腺炎的病因分析[J].中国中西医结合消化杂志,2005,13(1):43-44. 被引量:8
  • 2[1]Banks PA.Infected necrosis:morbidity and therapeutic consequences.Hepatogastroenterology 1991; 38:116-119
  • 3[2]Buchler MW,Gloor B,Muller CA,Friess H,Seiler CA,Uhl W.Acute necrotizing pancreatitis:treatment strategy according to the status of infection.Ann Surg 2000; 232:619-626
  • 4[3]Steinberg W,Tenner S.Acute pancreatitis.N Engl J Med 1994;330:1198-1210
  • 5[4]Toouli J,Brooke-Smith M,Bassi C,Carr-Locke D,Telford J,Freeny P,Imrie C,Tandon R.Guidelines for the management of acute pancreatitis.J Gastroenterol Hepatol 2002; 17 Suppl:S15-S39
  • 6[5]Bradley EL 3rd.A clinically based classification system for acute pancreatitis.Summary of the International Symposium on Acute Pancreatitis,Atlanta,Ga,September 11 through 13,1992.Arch Surg 1993; 128:586-590
  • 7[6]United Kingdom guidelines for the management of acute pancreatitis.British Society of Gastroenterology.Gut 1998; 42Suppl 2:S1-S13
  • 8[7]Mann DV,Hershman MJ,Hittinger R,Glazer G.Multicentre audit of death from acute pancreatitis.Br J Surg 1994; 81:890-893
  • 9[8]Renner IG,Savage WT 3rd,Pantoja JL,Renner VJ.Death due to acute pancreatitis.A retrospective analysis of 405 autopsy cases.Dig Dis Sci 1985; 30:1005-1018
  • 10[9]Talamini G,Bassi C,Falconi M,Sartori N,Frulloni L,Di Francesco V,Vesentini S,Pederzoli P,Cavallini G.Risk of death from acute pancreatitis.Role of early,simple "routine" data.Int J Pancreatol 1996; 19:15-24

共引文献1439

同被引文献60

引证文献6

二级引证文献35

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部