检验医学与临床2016，Vol.13Issue(9)：1209-1210,1213,3.DOI:10.3969/j.issn.1672-9455.2016.09.021
急性胰腺炎病因与局部并发症及严重程度的相关性分析
Severity and local complications of acute pancreatitis based on etiology
孔琳熙 1张俊文1
作者信息
- 1. 重庆医科大学附属第一医院消化内科 400016
- 折叠
摘要
Abstract
Objective To explore the relationship between severity and local complications of acute pancreatitis (AP) after conservative treatment .Methods Medical records were reviewed and analyzed of 2 227 AP patients who were admitted in chongqing from February 2010 to February 2015 in terms of incidence and severity of local compli‐cations .Results Totally 2 227 cases in patients with acute pancreatitis etiology distribution for 1 137 cases of biliary (51 .0% ) ,metabolic 741 patients(33 .3% ) and alcoholic 349 cases(15 .7% );local complications of the total incidence rate was 39 .0% ,of which biliary were 489 cases(43 .0% ) ,metabolism were 269 cases(36 .3% ) and 111 cases(31 .6% ) were alcohol .The incidence of local complications in gallstone AP is higher than the other two groups ,hyperlipemic pan‐creatitis and alcoholic pancreatitis had no differences in the incidence of local complications(P>0 .05) .According to the number of positions the pancreatic leakage refers to ,the complications can be classified into three stages .Gender , age have no statistical difference(P>0 .05)in the severity of local complications .The local complications in Gallstone AP is more serious than metabolic AP and alcoholic AP(P<0 .05) .Metabolic AP and alcoholic AP has no obvious differences in the severity of local complications(P>0 .05) .Conclusion After conservative treatment ,the incidence of local complications of biliogenic AP was the highest .In biliogenic AP patients ,severe local complication rate was the highest .Biliogenic AP is easier to result in a more serious clinical process .So in the clinical treatment of biliogenic AP should be timely relieve biliary obstruction and not just to intervene in case of inflammatory exudation .关键词
急性胰腺炎/病因/胰腺局部并发症/严重程度Key words
acute pancreatitis/etiology/local complications/severity引用本文复制引用
孔琳熙,张俊文..急性胰腺炎病因与局部并发症及严重程度的相关性分析[J].检验医学与临床,2016,13(9):1209-1210,1213,3.
