文章摘要
张秋芹张巍巍耿长新王青.急性非胆源性胰腺炎病因研究及BISAP 预后评估[J].,2011,11(14):2709-2712
急性非胆源性胰腺炎病因研究及BISAP 预后评估
Research of Etiology of Acute Non-Biliary Pancreatitis and Evaluationof Its Prognosis by BISAP
  
DOI:
中文关键词: 胰腺炎  病因学  BISAP
英文关键词: Pancreatitis  Etiology  BISAP
基金项目:
作者单位
张秋芹张巍巍耿长新王青 青岛大学医学院附属青岛市市立医院 
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中文摘要:
      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。
英文摘要:
      Objective: To investigate the etiology of acute non-biliary pancreatitis an evaluated its prognosis by BISAP(Beside Index 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 pregnancy, 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.
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