重症急性胰腺炎的临床发病学特征及预后分析

目的探讨重症急性胰腺炎（SAP）的临床发病特征，包括病因、误诊情况、治疗及预后，提出早期诊断方法。方法回顾性分析173例SAP住院患者临床资料，并对研究结果进行统计分析。结果SAP男性多见，为女性的1．3倍；胆石症为主要病因（45．1％）。其次是高脂血症和酗酒（分别为16、2％、15．0％）；误诊率9．8％，并发症发生率48．6％，治愈率74．0％，病死率26．0％。结论SAP病情复杂，容易误诊，治愈率低，并发症发生率及病死率高，预后差，尽早明确诊断并及时治疗是改善预后的关键。

Clinical morbidity characteristics and prognosis in severe acute pancreatitis

Objective To explore the clinical characteristics of severe acute pancreatitis(SAP) including etiologies,misdiagnosis,treatment and prognosis,and to put forward the earlier diagnosis.Methods Clinical data of 173 cases with SAP were retrospectively analyzed.Results The incidence of SAP in male was 1.3 times of that in female.The cholelithiasis was the main etiology of SAP(45.1%),and then hyperlipidemia and alcohol abuse(16.2% and 15%,respectively).The misdiagnosis rate was 9.8%,the incidence rate of complications was 48.6%,the cure rate was 74.0% and the rate was 26.0%.Conclusion SAP is a complicated diseale and easy to be misdiagnosed,with lower cure rate and high morbidity incidence of complication and fatality,so The key to improre poor prognosis is to be diagnosed earlier and treated timely.