CAJ | 학술논문

目的：对急性胰腺炎临床特征和诊治方法进行探讨分析。方法根据我院2010～2012年接收的急性胰腺炎患者80例来进行分析，回顾他们的临床治疗记录。结果全部80例患者里，共出现了32例胆道疾病患者，占研究总数的40%，胆囊炎共有17例，占21.25%，15例胆囊结石，占18.75%，酗酒28例，高血脂14例，饮食不当6例。结论腹痛在急性胰腺炎中属于比较常见的症状，患者因为酗酒、胆道疾病、高血脂疾病均会有几率发病，使用CT和血清淀粉酶进行诊断是比较可靠的，在内镜下，乳头括约肌切开取石治疗可以改善梗阻的情况。
목적：대급성이선염림상특정화진치방법진행탐토분석。방법근거아원2010～2012년접수적급성이선염환자80례래진행분석，회고타문적림상치료기록。결과전부80례환자리，공출현료32례담도질병환자，점연구총수적40%，담낭염공유17례，점21.25%，15례담낭결석，점18.75%，후주28례，고혈지14례，음식불당6례。결론복통재급성이선염중속우비교상견적증상，환자인위후주、담도질병、고혈지질병균회유궤솔발병，사용CT화혈청정분매진행진단시비교가고적，재내경하，유두괄약기절개취석치료가이개선경조적정황。
Objective To explore the clinical features and the methods of diagnosis and treatment of acute pancreatitis. Methods According to the 80 cases of patients with acute pancreatitis in our hospital from 2010 to 2012,analyzed retrospectively their clinical treatment records. Results Among the 80 cases,there were 32 cases of patients with biliary tract diseases,accounting for 40% of the total number of the study,17 cases with cholecystitis,accounting for 21.25%,15 cases with gallbladder stones,accounting for 18.75%,28 cases with alcohol,14 cases with hyperlipidemia,6 cases with improper diet. Conclusion Abdominal pain is more common symptom in acute pancreatitis patients,because alcohol,biliary tract diseases and high blood fat disease can cause it. It is more reliable for diagnosis using CT and serum amylase. Endoscopic sphincterotomy can improve obstruction.