CAJ | 학술논문

目的探讨急性胰腺炎(acute pancreatitis,AP)的病因、临床特点和诊治经验.方法回顾性分析2005年1月至2010年12月217例AP患者的临床资料.结果 217例AP占同期收治外科急腹症的10.6％,其中男性占60.4％,女性占39.6％.平均年龄52.5岁.发病原因以胆源性、高脂血症、创伤性这三者多见.164例(75.6％)为轻症AP,53例(24.4％)为重症AP.151例69.6％)行手术或内镜治疗,66例(30.4％)行非手术治疗.治愈或好转203例(93.5％),53例重症AP共死亡14例(26.4％).结论明确AP发作的病因并针对其病因、分型采取有效的治疗是减少并发症、提高治愈率的关键.
목적 탐토급성이선염(acute pancreatitis,AP)적병인、림상특점화진치경험.방법 회고성분석2005년1월지2010년12월217례AP환자적림상자료.결과 217례AP점동기수치외과급복증적10.6％,기중남성점60.4％,녀성점39.6％.평균년령52.5세.발병원인이담원성、고지혈증、창상성저삼자다견.164례(75.6％)위경증AP,53례(24.4％)위중증AP.151례69.6％)행수술혹내경치료,66례(30.4％)행비수술치료.치유혹호전203례(93.5％),53례중증AP공사망14례(26.4％).결론 명학AP발작적병인병침대기병인、분형채취유효적치료시감소병발증、제고치유솔적관건.
Objective To study the etiological factors,clinical characteristics and diagnosis of acute pancreatitis (AP).Methods The clinical data of 217 patients with AP treated from January 2005to December 2010 in our hospital were studied retrospectively.Results The majority of patients were male (60.4％).The average age was 52.5 years.Cholelithiasiss,hyperlipidemia and trauma were the most frequent etiologic causes of AP.There were 164 patients with mild (75.6％) and 53 patients with severe (24.4％) AP.151 patients underwent surgical or endoscopical treatment (69.6 ％) while 66 patients underwent non-operative treatment (30.4 ％).14 of 53 patients with severe AP died.Conclusions AP should be treated according to the cause and the type.The key to reduce complications and increase cure rate is to find the cause of AP and then treat the underlying disease.