CAJ | 학술논문

目的探讨急性复发性胰腺炎的病因学,以及如何进一步提高其治疗水平.方法对瑞金医院2003-2007年间33例急性胰腺炎复发的病历资料和临床诊治进行整理和分析.结果 33例急性复发性胰腺炎中,男性55%,女性45%,平均年龄55岁(22～86岁).其中复发1次有26例,复发2次4例,复发3次及以上3例.33例病人中,出院后1年内复发29例,1～2年内复发2例,2～3年内复发1例,3年以上复发1例.就病因而言,胆源性有29例,占到绝大部分,高脂血症及胰腺肿瘤因素各1例,另外有2例发病原因不明.经过手术或内镜治疗的有24例.所有病人中死亡2例,病死率9.1%.结论胆道因素是我国急性胰腺炎复发的最常见病因,适时时机的外科介入能有效的降低胆源性胰腺炎的复发几率.
목적 탐토급성복발성이선염적병인학,이급여하진일보제고기치료수평.방법 대서금의원2003-2007년간33례급성이선염복발적병력자료화림상진치진행정리화분석.결과 33례급성복발성이선염중,남성55%,녀성45%,평균년령55세(22～86세).기중복발1차유26례,복발2차4례,복발3차급이상3례.33례병인중,출원후1년내복발29례,1～2년내복발2례,2～3년내복발1례,3년이상복발1례.취병인이언,담원성유29례,점도절대부분,고지혈증급이선종류인소각1례,령외유2례발병원인불명.경과수술혹내경치료적유24례.소유병인중사망2례,병사솔9.1%.결론 담도인소시아국급성이선염복발적최상견병인,괄시시궤적외과개입능유효적강저담원성이선염적복발궤솔.
Objective To investigate the etiology of acute recurrent pancreatitis (ACP) and de-termine how to further enhance its level of treatment.Methods The clinical data of 33 patients with ACP treated in Ruijin Hospital from 2003 to 2007 were retrospectively analyzed.Results Of the 33 patients with an average age of 55 (22-86), 18 (55%) were male and 15 (45%) female.ACP occurred once in 26 patients, twice in 4 and 3 times in 3.The disease appeared whithin 1 year in 29 patients, 1-2 years in 2, 2-3 years in 1 and 3 years in 1 after being dischared from hospital.For its etiology, it was of biliary origin in 29 patients, hyperlipidemia in 1, pancreatic tumor in 1 and unknow reasons in 2.Twenty-four patients were treated with operation or endoscopy.Two patients died and the mortali-ty was 9.1%.Conclusion ACP is mainly due to biliary origin in China.Operative intervention at an appropriate opportunity can effectively reduce the recurrence of biliary-origin pancreatitis.