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目的:调查近5年来什邡地区急性胰腺炎病例的发病因素,为本地区急性胰腺炎的防治提供依据。方法:对什邡市人民医院消化内科2011年7月-2016年8月收治的具有完整有效病例资料的308例急性胰腺炎病例进行回顾性分析,依病因分为胆源性、脂源性、酒精性、过度进食、不明原因各5组,统计各组病例的组成,比较不同病因组患者的性别、年龄及病情情况。结果:(1)病因构成:胆源性128例,脂源性52例,酒精性44例,不明原因64例,过度进食20例。(2)病因与性别:男性160例,女性148例,比例为1.08:1,男性发病主要为胆源性,其次为酒精性,分别占35%和27.5%;女性发病主要为胆源性,其次为不明原因,分别占49%和29.7%。(3)病因与病情:脂源性胰腺炎中重症胰腺炎占35.2%,较其他组高(P<0.05),其次为胆源性,占27.8%。结论:胆源性胰腺炎为什邡地区急性胰腺炎的主要病因,高脂血症及饮酒为本地区急性胰腺炎的重要病因,但脂源性胰腺炎更易发展为重症胰腺炎。
Objective: To investigate the incidence of acute pancreatitis in Shifang area in recent 5 years, and to provide basis for the prevention and treatment of acute pancreatitis in this area. Methods: A retrospective analysis was performed on 308 cases of acute pancreatitis with complete and valid case data from July 2011 to August 2016 in the Department of Gastroenterology, Shifang People’s Hospital. The patients were divided into biliary, lipogenic, alcohol Sex, over-eating, unexplained 5 groups, statistics of the composition of each group of patients, comparing the different etiology of patients with gender, age and condition. Results: (1) Etiology: 128 cases of biliary origin, lipogenic 52 cases, 44 cases of alcohol, 64 cases of unknown reasons, over-eating 20 cases. (2) Etiology and gender: 160 males and 148 females, the ratio was 1.08: 1. The incidence of males was mainly biliary, followed by alcohol, accounting for 35% and 27.5% respectively. The incidence of females was mainly biliary, Followed by unknown reasons, accounting for 49% and 29.7%. (3) etiology and disease: severe pancreatitis in lipid-induced pancreatitis accounted for 35.2%, higher than other groups (P <0.05), followed by biliary origin, accounting for 27.8%. Conclusion: The cause of biliary pancreatitis is the main cause of acute pancreatitis, hyperlipidemia and alcohol drinking in this area are the important causes of acute pancreatitis in our region. However, it is more likely that lipogenic pancreatitis develops into severe pancreatitis.