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急性胰腺炎638例临床分析 被引量:15

Clinical analysis on 638 cases of acute pancreatitis
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摘要 目的探讨急性胰腺炎(AP)病因分布、诊断与治疗。方法对近年来收治的638例AP患者从发病年龄、性别、病因、分型、实验室检查、治疗方法、转归进行总结分析。结果 AP近年来发病呈上升趋势,男性多于女性,20~60岁患者明显高于〉60岁和〈20岁患者,病因以胆源性为主,高脂血症成为第二位因素,糖尿病因素不容忽视,同时各因素间相互影响,非手术治疗效果良好,手术治疗及时用于有严重并发症的患者,可挽救患者生命,老年AP症状隐蔽,应高度重视。结论 AP发病原因复杂多样,互为因果又恶性循环,应做好高危人群科普工作,非手术治疗为主要方法,进一步探讨AP新的治疗方法。 Objective To investigate the cause,distribution,diagnosis and treatment of acute pancreatitis(AP).Methods 638 patients with AP were analyzed from the aspects of onset age,gender,etiology,classification,treatment,laboratory analysis,and outcome.Results The incidence of AP was increasing in recent years,which was higher in males than females,and in people of 20~60 years old than those over 60 years old and those under 20 years old.The cause of AP was firstly biliary,then hyperlipidemia.Another cause of AP that can not be ignored was diabe-tes.The causes interact mutually with each other.Non-surgical treatment has good clinical effects on AP,and surgery treatment is applied for treating patients with serious complications.Conclusion The etiology of AP is complicated.We should enhance the education of disease knowledge in high-risk people,use non-surgical treatment as the main treatment,and explore new therapy for treating the disease.
出处 《海南医学》 CAS 2012年第4期49-50,共2页 Hainan Medical Journal
关键词 急性胰腺炎 高脂血症 非手术治疗 Acute pancreatitis Hyperlipidemia Non-surgical treatment
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