急性胰腺炎1796例病因及治疗效果分析

目的：分析我院急性胰腺炎（AP）的主要病因及治疗效果，为临床诊疗工作提供参考。方法：回顾性分析2008年1月至2012年12月于我院住院治疗的1796例AP患者的临床资料，统计其病因及治疗效果，对其病因及预后进行分析总结。结果：在1796例患者中，重症急性胰腺炎（SAP）522例，轻症急性胰腺炎（MAP）1274例。胆源性AP1025例，高脂血症性AP209例，酒精性AP200例。高脂血疰性AP中，SAP占49．8％，高于胆道疾病及酒精因素引起的SAP的比例（P〈0．05）。33例患者死亡，总病死率1．8％。结论：胆道疾病、酒精、高脂血症是我国AP主要病因，随着医疗水平的提高，AP的病死率有所下降。

Analysis of Causes and Prognosis of 1796 Patients with Acute Pancreatitis＊

Objective： To investigate the causes and therapy of acute pancreatitis （AP）. Methods： We collected the clinical data of 1796 patients with AP and analyzed the causes and prognosis of patients who were admitted in General Hospital of Shenyang Military Commend between Jan.2008 to Dec. 2012. Results： In 1796 patients, there were 522 severe acute pancreatitis （SAP） patients and 1274 mild acute pancreatitis （MAP）. In these patients, 1025 cases were biliary origin; 209 cases were hyperlipidemia origin 200 cases were al- coholic origin. SAP was 49.8% ofhyperlipidemia AP, which was significantly higher than those in biliary acute pancreatitis and alcoholic acute pancreatitis （P〈0.05）. 33 cases were dead with a mortality of 8.8%. Conclusion： The major causes of acute pancreatitis were bil- iary, alcoholic and hyperlipidemia. The mortality of AP declined with the development of medical technology.