CAJ | 학술논문

目的：探讨重症急性胰腺炎（ SAP）的病因。方法回顾性分析福建医科大学附属漳州市医院2OO8年4月-2O12年1O月住院治疗的1O5例SAP患者的临床资料。结果1O5例患者中胆源性SAP 36例（34.3%），特发性SAP 34例（32.4%）、高脂血症性SAP 28例（26.7%）、酒精性SAP 4例（3.8%）、其他（十二指肠乳头憩室并憩室炎、乳头占位等）3例（2.9%）。老年组胆源性SAP构成比高于非老年组，差异有统计学意义（ P<O. O1）；高脂血症性SAP构成比非老年组高于老年组，差异有统计学意义（ P<O. O1）。结论胆源性SAP最常见，在老年SAP患者中占比较高，女性多于男性；高脂血症性SAP多见于中青年患者。
목적：탐토중증급성이선염（ SAP）적병인。방법회고성분석복건의과대학부속장주시의원2OO8년4월-2O12년1O월주원치료적1O5례SAP환자적림상자료。결과1O5례환자중담원성SAP 36례（34.3%），특발성SAP 34례（32.4%）、고지혈증성SAP 28례（26.7%）、주정성SAP 4례（3.8%）、기타（십이지장유두게실병게실염、유두점위등）3례（2.9%）。노년조담원성SAP구성비고우비노년조，차이유통계학의의（ P<O. O1）；고지혈증성SAP구성비비노년조고우노년조，차이유통계학의의（ P<O. O1）。결론담원성SAP최상견，재노년SAP환자중점비교고，녀성다우남성；고지혈증성SAP다견우중청년환자。
Objective To analyze the etiology of severe acute pancreatitis( SAP). Methods The clinical data of 1O5 patients with SAP in Zhangzhou Hospital Affiliated to Fujian Medical University from April 2OO8 to October 2O12 were retro-spectively analyzed. Results In the 1O3 cases,36 cases(34. 3%)was biliary SAP,34 cases(32. 4%)was diopathic SAP,28 cases(26. 7%)was hyperlipemic SAP,4 cases(3. 8%)was alcoholic SAP,3 cases(2. 9%)was other causes. The proportion of biliary SAP in the elderly group was higher than that in the non-elderly group,the difference was statistically significant(P<O. O1). The proportion of hyperlipemic SAP in the non-elderly group was higher than that in the elderly group, the difference was statistically significant( P<O. O1). Conclusion Biliary SAP is the most common type,which proportion is higher in elderly patients,and higher in female than in male. The proportion hyperlipemic SAP is higher in the young patients.