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目的:通过对急性复发性胰腺炎(acute recurrent pancreatitis,ARP)的病因,临床体征和治疗过程的总结,归纳ARP病人的临床特点及治疗方法,以提高治疗水平。方法:对48例ARP病人的病因,治疗方法以及治疗效果进行回顾性分析。结果:患有胆石症及其他胆源性疾病的ARP患者24例,占50%;酗酒或暴饮暴食的ARP患者13例,占27%;高脂血症ARP患者7例,占15%;其他原因的ARP患者4例,占8%。使用非手术治疗31例,治愈30例,治愈率96.8%,死亡一例;使用手术治疗17例,治愈15例,治愈率88.2%,死亡2例。结论:ARP发病迅速,治疗难度大,预后差,死亡率高,临床上治疗要高度警惕;胆源性的疾病和暴饮暴食是引起ARP的主要病因,在治疗过程中注意寻找主要的病因有助于治疗;常规情况下可以使用非手术治疗有助于患者的生存率的提高;治疗过程需要密切注意并发症的及时处理,降低治疗风险。
Objective: To summarize the etiology, clinical signs and treatment of acute recurrent pancreatitis (ARP), and to summarize the clinical features and treatment of ARP patients in order to improve the treatment level. Methods: The etiology, treatment and treatment of 48 cases of ARP were analyzed retrospectively. Results: 24 cases of ARP patients with cholelithiasis and other biliary diseases accounted for 50%, 13 cases of alcohol abuse or overeating ARP patients accounted for 27%, 7 cases of hyperlipidemia ARP patients accounted for 15% Other causes of ARP patients in 4 cases, accounting for 8%. 31 cases were treated with non-operation, 30 cases were cured, the cure rate was 96.8%, one case died; 17 cases were treated by surgery, 15 cases were cured, the cure rate was 88.2%, and 2 cases died. Conclusion: The rapid incidence of ARP, the treatment is difficult, the prognosis is poor, high mortality, clinical treatment should be highly vigilant; gallbladder disease and overeating is the main cause of ARP, pay attention to find the main causes in the treatment process are Which can help to improve the survival rate of patients. The treatment process needs close attention to the timely treatment of complications and reduce the treatment risk.