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目的:探讨地震灾区急性胰腺炎患者的疾病特征、治疗及预防。方法:回顾性分析“5.12”汶川大地震后一个月内从灾区转送到我科的14例急性胰腺炎患者的临床资料。结果:14例患者中轻症8例,重症6例;发病相关因素主要有:脂肪餐10例、胆囊结石6例、饮酒4例、高脂血症4例,其中合并两种因素者10例;经中西医结合非手术治疗尤其注重对患者的心理治疗和护理后,痊愈12例,好转2例。结论:地震灾区急性胰腺炎的发生有其不同特征,饮食成为首发因素;心理因素可能影响疾病的发生和发展演变;防治方面应注重对患者的心理治疗和护理。这有助于今后对地震灾区急性胰腺炎的预防和处理。
Objective: To investigate the disease characteristics, treatment and prevention of patients with acute pancreatitis in earthquake-stricken areas. Methods: The clinical data of 14 patients with acute pancreatitis who were transferred to our department within one month after the “5.12 ” Wenchuan earthquake were retrospectively analyzed. Results: In 14 patients, 8 cases were mild and 6 cases were severe. There were 10 cases of fat meal, 6 cases of gallstone, 4 cases of drinking, 4 cases of hyperlipidemia, including 10 cases of two factors ; Combined with non-surgical treatment of Chinese and Western medicine with particular attention to the patient’s psychological treatment and care, 12 cases were cured, improved in 2 cases. Conclusion: The occurrence of acute pancreatitis in earthquake-stricken areas has its own characteristics. Diet is the first factor. Psychological factors may affect the occurrence and development of the disease. Psychological treatment and nursing should be emphasized in the prevention and treatment of patients. This will help the future prevention and treatment of acute pancreatitis in earthquake-stricken areas.