摘要
目的本文对120例急性胰腺炎患者临床资料进行回顾性分析,以探讨急性胰腺炎诊治相关问题。方法对120例急性胰腺炎病例进行回顾性分析,比较轻重两组的病因及多项实验室指标,并进行统计学分析。结果胆石症、饮酒、高脂血症为本组病人的主要病因,并发症主要为ARDS、急性肾功能衰竭、腹腔间室综合征、休克等,重症组死亡率为25%。结论急性胰腺炎病因中高脂血症值得关注。早期准确评估病情在胰腺炎的治疗中非常重要,其中CRP、HCT等有一定的预测价值且较为便捷。治疗采取以生长抑素为主的内科综合疗法,早期尽可能避免手术。
Objective To investigate diagnosis and treatment for acute pancreatitis. Methods 120 cases with acute pancreatitis were retrospectively analyzed, 120 cases were divided into two groups： mild and severe based on the result of contrast-enhanced computed tomography scan. Several laboratory tests were compared and analyzed statistically between two groups. Results Biliary tract disease, excessive alcohol intake, excessive food intake and hyperlipidemia were the principal causes of acute panereatitis. Complications of acute pancreatitis were ARDS renal failure, abdominal compartment syndrome, bleeding of upper gastrointestinal tract, shock, pleural effusion, and abdominal abscess. Mortality of severe acute panereatitis was 25%. Conclusion Acute pancreatitis is still fatal disease, especially mortality of severe acute pancreatitisis is still high. Hyperlipidemia as one of causes of acute pancreatitis should be concerned. Early exact evaluation for clinical presentation and prognosis in the treatment of acute pancreatitis is very important. Computed tomography scan is the better measurement to evaluate clinical presentation and prognosis, but some single indicators such as CRP and HCT have certain significance. Comprehensive therapy based on sematostatin is main management for acute pancreatitis, nonoperative management should be first choice in early stage of acute pancreatitis.
出处
《中国现代医药杂志》
2005年第5期28-30,共3页
Modern Medicine Journal of China
