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目的:分析急性胰腺炎(AP)的病因及其临床特点。方法:选取我院2011年12月-2012年12月间收治的70名急性胰腺炎患者作为研究对象,采用回顾性的方式分析其临床资料,并根据其发病病因进行分类统计。结果:70例急性胰腺炎患者中,有41例为酒精性,占总数的58.57%,10例为胆源性,占总数的14.29%,7例为高脂血症性,占总数的10%,8例为不明原因特发性,占总数的11.43%,4例为胰腺异常分裂,占总数的5.71%。有51名为轻症急性胰腺炎,占总数的72.86%,有13例为重症急性胰腺炎,占总数的18.57%。治愈52人,好转13人,总的治愈好转率92.86%,病亡5例,病死率7.14%。急性胰腺炎的发病率与年龄呈正相关的关系(P<0.05)。结论:导致急性胰腺炎发生最主要的因素是酒精性)、其次便是胆源性和高脂血症性,(x±s)这些疾病对患者的身体健康和生活质量造成了严重的影响,甚至对生命安全构成了严重的威胁,尤其是对于年龄较大的人群,在治疗过程中往往会伴随一些并发症,因此在临床治疗中应加强监控。
Objective: To analyze the etiology and clinical features of acute pancreatitis (AP). Methods: Seventy patients with acute pancreatitis admitted from December 2011 to December 2012 in our hospital were selected as the research objects. The clinical data were analyzed retrospectively and classified according to their etiology. Results: Among the 70 cases of acute pancreatitis, 41 cases were alcoholic, accounting for 58.57% of the total, 10 cases of biliary origin accounting for 14.29% of the total, 7 cases of hyperlipidemia, accounting for 10% , 8 cases of idiopathic unexplained, accounting for 11.43% of the total, 4 cases of pancreatic anomalies, accounting for 5.71% of the total. 51 patients with mild acute pancreatitis, accounting for 72.86% of the total, 13 cases of severe acute pancreatitis, accounting for 18.57% of the total. 52 were cured, 13 were improved, the overall cure rate was 92.86%, 5 cases of death, the case fatality rate was 7.14%. The incidence of acute pancreatitis was positively correlated with age (P <0.05). Conclusion: The most important factor leading to the occurrence of acute pancreatitis is alcoholism, followed by biliary and hyperlipemia. These diseases (x ± s) have a serious impact on the health and quality of life of patients, Even poses a serious threat to the life safety. Especially for the older population, some complications often accompany the treatment. Therefore, the monitoring should be strengthened in the clinical treatment.