急性非胆源性胰腺炎病因研究及BISAP预后评估

目的：探讨急性非胆源性胰腺炎病因并对其预后进行BISAP（Beside Index of Severe Acute Pancreatitis）评估。方法：回顾性分析2006年7月~2010年7月我院收治的108例急性非胆源性胰腺炎患者临床资料,并结合BISAP评分对其预后予初步评估。结果：发病病因：大量饮酒及暴饮暴食52例;高脂血症27例;药物12例;妊娠1例;十二指肠憩室1例;诱因不明15例。重症急性胰腺炎8例,5例由暴饮暴食、酗酒所致,2例为高脂血症,1例为十二指肠憩室引起;其中有6例BISAP评分≥3分。结论：明确病因对预防复发、降低胰腺炎并发症、病死率具有重要意义。BISAP评分有利于重症胰腺炎风险早期预测。

Research of Etiology of Acute Non-Biliary Pancreatitis and Evaluation of Its Prognosis by BISAP

Objective： To investigate the etiology of acute non-biliary pancreatitis an evaluated its prognosis by BISAP（Beside In-dex of Severe Acute Pancreatitis）score.Methods： 108 cases with acute non-biliary pancreatitis who admitted in our hospital from July 2006 to July 2010 were applied in our study and retrospective analysis of its etiology and BISAP scores were done seperately.Results： Taken together,52 cases suffered of alcohol abuse and engorgement,27 cases of hyperlipemia,12 case of drug-induction,1 case of preg-nancy,1 case of duodenal diverticulum and 15 cases still remained unclear.Among those cases,8 cases（5 cases were related to alcohol abuse and engorgement,the other 2 were hyperlipemia and 1 was duodenal diverticulum） lead to acute severe pancreatitis,and 6 of them get high sores of more than 3 by BISAP evaluation.Conclusions： Clearing the causes of acute pancreatitis is of importance to prevent relapse,reduce the complications and mortality of pancreatitis.BISAP score is of benefit to early severe acute pancreatitis.