急性复发性胰腺炎临床治疗分析

目的:通过对急性复发性胰腺炎(acute recurrent pancreatitis,ARP)的病因,临床体征和治疗过程的总结,归纳ARP病人的临床特点及治疗方法,以提高治疗水平。方法:对48例ARP病人的病因,治疗方法以及治疗效果进行回顾性分析。结果:患有胆石症及其他胆源性疾病的ARP患者24例,占50%;酗酒或暴饮暴食的ARP患者13例,占27%;高脂血症ARP患者7例,占15%;其他原因的ARP患者4例,占8%。使用非手术治疗31例,治愈30例,治愈率96.8%,死亡一例;使用手术治疗17例,治愈15例,治愈率88.2%,死亡2例。结论:ARP发病迅速,治疗难度大,预后差,死亡率高,临床上治疗要高度警惕;胆源性的疾病和暴饮暴食是引起ARP的主要病因,在治疗过程中注意寻找主要的病因有助于治疗;常规情况下可以使用非手术治疗有助于患者的生存率的提高;治疗过程需要密切注意并发症的及时处理,降低治疗风险。

Clinical analysis of treatment of acute recurrent pancreatitis

Objective Through to the acute recurrent pancreatitis(acute recurrent pancreatitis,ARP) the etiology,clinical signs,and treatment of the process were summed up the ARP patient clinical characteristics and treatment methods,to improve the level of after treatment.Methods To 48 cases the cause of ARP patients,treatment and treatment results were retrospectively analyzed.Results With cholelith disease and other gallstone disease in patients with ARP,24 cases were accounted for 50%;Drink or eat and drink too much ARP patients in 13,27%;Hyperlipidemia ARP patients in 7 patients,15%;Other reasons for patients with ARP 4 cases,accounting for 8%.Use non-operative therapy(31 cases),30 cases cure,cured 96.8%,a death;Use the surgical treatment of 17 cases,15 cases were cured,cure rate 88.2%,2 cases died.Conclusion Rapid onset ARP,treatment is difficult,prognosis is poor,and a high mortality rate,clinical treatment to alert;Gallstone disease and eat and drink too much is a cause of the main cause of ARP,during the course of treatment look for the main causes of help to cure;Normal circumstances nonoperative treatment can be used to improve the survival rate of the patients;Treatment processes need pay close attention to the complications of the stitch in time,reduce the risk of treatment.