摘要
目的:探讨重症急性胰腺炎(SAP)的病因。方法:回顾性分析2006年1月-2012年1月云南省第三人民医院住院治疗的112例SAP患者的临床资料。结果:112例患者胆源性SAP占47.3%,特发性占19.6%、高脂血症性占17.8%、酒精性占8.9%。高脂血症性SAP有上升趋势(P=0.032)。酒精性SAP中男性比例明显高于女性(P<0.001)。老年SAP患者中胆源性比例高于非老年(P<0.001),高脂血症性和酒精性则以非老年为高(P<0.001)。结论:胆源性是SAP最常见病因,在老年SAP中其比例更高;高脂血症性SAP呈上升趋势;酒精性SAP多见于男性;高脂血症性和酒精性SAP多见于中青年患者。
Objective： To analyze the etiology of severe acute pancreatitis （ SAP ） . Method： The clinical data of 112 cases of SAP hospitalized between January 2006 and January 2012 at Yunnan Third People＇s Hospital were analyzed retrospectively. ResuLt： Biliary SAP, idiopathic SAP, hyperlipemie SAP and alcoholic SAP was accounted for 47.3%, 19.6%, 17.8% and 8.9% respectively. There was an ascending trend in hyperiipemic SAP （ P=0.032 ） . Male was significantly more than female in alcoholic SAP （ P〈0.001 ） . The proportion of biliary SAP in the elderly was higher than that in the non-elderly （ P〈0.001 ） . The proportions of hypedipemic and alcoholic SAP in the non-elderly were higher than those in the elderly （ P〈0.001 ） . Conclusion： Biliary factor is the most common etiology of SAP. The proportion of biliary SAP in the elderly is higher than that in non-elderly. With time changed, there is an ascending trend in hypedipemic SAP. Alcoholic SAP is mainly in male. The cases of hyperlipemie and alcoholic SAP are mainly in the non-elderly.
出处
《中国医学创新》
CAS
2013年第2期146-147,共2页
Medical Innovation of China
关键词
重症急性胰腺炎
病因
Severe acute panereatitis
Etiology
