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目的总结分析急性胰腺炎的致病因素。方法对186例急性胰腺炎患者的致病因素进行统计,总结出单一致病因素在186例急性胰腺炎患者中出现的例次及比率;对每1例患者的致病因素进行分析,总结出单一致病因素病例和各种致病因素组合病例进行比较分析。结果 10类致病因素在186例患者身上出现的例次及比率由高到低分别是:高脂饮食132例(70.97%),大量饮酒115例(61.83%),胆石症及其他胆道疾病112例(60.22%),高甘油三脂血症98例(52.67%),暴饮暴食92例(49.46%),原因不明10例(5.38%),胰管疾病4例(2.15%),手术与创伤4例(2.15%),感染2例(0.98%),药物1例(0.54%)。5种致病因素同时存在的患者60例,占32.26%;4种致病因素同时存在的患者22例,占11.82%;3种致病因素同时存在的患者29例,占15.59%;2种致病因素同时存在的患者20例,占10.75%;单一致病因素存在的患者55例,仅占29.57%。结论急性胰腺炎以多因素致病为主要特点。致病因素中,以高脂饮食、大量饮酒、胆石症及其他胆道疾病、高甘油三脂血症、暴饮暴食最常见。
Objective To summarize and analyze the causative factors of acute pancreatitis. Methods A total of 186 patients with acute pancreatitis were analyzed for the risk factors. The incidences and rates of single pathogenic factors in 186 patients with acute pancreatitis were summarized. The risk factors for each of the 1 patients were analyzed and summarized A single case of pathogenic factors and a variety of pathogenic factors combined cases were compared. Results Among the 186 patients, the incidence and prevalence of the 10 categories of pathogenic factors were 132 (70.97%) in the high-fat diet, 115 (61.83%) cases of heavy drinking, cholelithiasis and other biliary diseases (60.22%), 98 cases of hypertriglyceridemia (52.67%), 92 cases of binge eating (49.46%), 10 cases of unknown cause (5.38%), 4 cases of pancreatic duct disease (2.15% Trauma in 4 cases (2.15%), infection in 2 cases (0.98%), drugs in 1 case (0.54%). There were 60 patients (32.26%) with 5 kinds of pathogenic factors co-existed. Twenty-four patients (11.82%) had 4 pathogenic factors simultaneously, and 29 patients (15.59%) had 3 kinds of pathogenic factors coexisting. Twenty patients with pathogenic factors coexist, accounting for 10.75%. There are 55 patients with single pathogenic factors accounting for only 29.57%. Conclusion Acute pancreatitis is characterized by multifactorial disease. Pathogenic factors, high-fat diet, heavy drinking, cholelithiasis and other biliary diseases, hypertriglyceridemia, overeating is the most common.