摘要
目的探讨急性复发性胰腺炎（ARP）的病因、临床特点和诊治经验。方法回顾性分析我院收治的532例急性胰腺炎（AP）中68例ARP的临床资料。结果ARP占同期收治AP的12．8％，其中男性占76．5％，女性占23．5％。平均年龄45．6岁。复发原因以胆源性、高脂血症、酒精性这三者多见。58例（85．3％）为轻症ARP，10例（14．7％）为重症ARP。54例（79．4％）行手术或内镜治疗，14例（20．6％）行非手术治疗。治愈或好转66例，死亡2例均为重症ARP。结论明确ARP发作的病因并针对病因采取有效的治疗是减少ARP复发的关键。
Objective To explore etiological factors, clinical characteristic and diagnosis of acute recurrent pancreatitis （ARP）. Methods Clinical data of 68 patients with ARP from Jan. 2003 to Dec. 2009 were reviewed retrospectively. Results Among 532 acute pancreatitis （AP） cases, 68 were diagnosed as ARP （ 12.8% ）. The majority of ARP patients were male, amounting 76.5% of the total. The average age of ARP patients was 45.6 years. Cholelithiasis, hyperlipemia and alcohol were the most frequent factors causing ARP. Among the 68 ARP cases, 58 cases were mild （85.3%） and 10 cases were severe （ 14.7% ）. 54 cases underwent surgery or endoscopic treatment （79.4%） while 14 cases underwent non-operative treatment （20.6%）. As a resuit, 66 cases were cured or improved and 2 cases with severe ARP died. Conclusion The key to reduce recurrent rate of ARP is to find out the causes of recurrence and then treat the diseases accordingly.
出处
《中华内分泌外科杂志》
CAS
2011年第1期37-39,共3页
Chinese Journal of Endocrine Surgery
关键词
急性胰腺炎
复发
病因学
Acute pancreatitis
Recurrence
Etiology
