中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
z1期
51-53
,共3页
王建球%周海华%杨廷燕%王建平%陈跃宇
王建毬%週海華%楊廷燕%王建平%陳躍宇
왕건구%주해화%양정연%왕건평%진약우
胰腺炎%诊断%治疗结果
胰腺炎%診斷%治療結果
이선염%진단%치료결과
Pancreatitis%Diagnosis%Treatment outcome
目的 探讨急性胰腺炎(AP)的病因及诊治经验.方法 回顾性分析168例AP患者的临床资料.结果 AP患者中,胆源性AP 138例(82.1％),高脂血症性AP 6例(3.6％),酒精性AP6例(3.6％),外伤性AP 5例(3.0％),特发性AP2例(1.2％),两种病因以上的混合性11例(6.5％).轻症AP 131例(78.0％),重症AP 37例(22.0％).118例(70.2％)行手术或内镜治疗,50例(29.8％)行非手术治疗,治愈或好转156例(92.9％).37例重症AP共死亡5例(13.5％).结论 明确AP病因,分型积极治疗,是减少并发症、提高治愈率的关键.
目的 探討急性胰腺炎(AP)的病因及診治經驗.方法 迴顧性分析168例AP患者的臨床資料.結果 AP患者中,膽源性AP 138例(82.1％),高脂血癥性AP 6例(3.6％),酒精性AP6例(3.6％),外傷性AP 5例(3.0％),特髮性AP2例(1.2％),兩種病因以上的混閤性11例(6.5％).輕癥AP 131例(78.0％),重癥AP 37例(22.0％).118例(70.2％)行手術或內鏡治療,50例(29.8％)行非手術治療,治愈或好轉156例(92.9％).37例重癥AP共死亡5例(13.5％).結論 明確AP病因,分型積極治療,是減少併髮癥、提高治愈率的關鍵.
목적 탐토급성이선염(AP)적병인급진치경험.방법 회고성분석168례AP환자적림상자료.결과 AP환자중,담원성AP 138례(82.1％),고지혈증성AP 6례(3.6％),주정성AP6례(3.6％),외상성AP 5례(3.0％),특발성AP2례(1.2％),량충병인이상적혼합성11례(6.5％).경증AP 131례(78.0％),중증AP 37례(22.0％).118례(70.2％)행수술혹내경치료,50례(29.8％)행비수술치료,치유혹호전156례(92.9％).37례중증AP공사망5례(13.5％).결론 명학AP병인,분형적겁치료,시감소병발증、제고치유솔적관건.
Objective To investigate the acute pancreatitis (acute pancreatitis,AP) of etiology,diagnosis and treatment experiences.Methods Retrospective analysis of clinical data of January 2006-January 2011 AP patients.Results In all cases,biliary AP138 (82.1％),Hyperlipidemia AP 6 (3.6％),alcoholic AP 6 (3.6％),traumatic AP5 (3.0％),idiopathic AP 2 (1.2％),and two cause more mixing of 11 cases (6.5％).Mild AP 131 (78％),severe AP 37 cases (22％).118 cases (70.2％),surgery or endoscopic therapy,50 (29.8％),non-surgical treatment,cure or improvement in 156 cases (92.9％).37 cases of severe AP total of 5 deaths (13.5％).Conclusion Clear etiology of AP,aggressive treatment,is critical to reduce complications and improve cure rates.
