摘要
目的探讨急性胰腺炎的临床特征与发病因素,为临床诊治提供参考依据。方法收集我院于2017年1月至2019年12月收治的240例急性胰腺炎患者的病历资料进行回顾性分析。根据急性胰腺炎治疗指南诊治标准,对240例患者均给予禁食、抑酸、抑酶、抗感染、补液、营养支持、心电监护等基础治疗,对通气困难者给予机械通气及心电监护对症支持治疗,找出急性胰腺炎的发病临床特征与发病因素,分析患者病情加重阶段存在的胆源性危险因素,并对胆源性危险因素在急性胰腺炎并发与病情加重过程中的影响与作用进行深入分析。结果病患年份、病情轻重程度数据比较差异无统计学意义,P>0.05;患者病情因素不同、并发率比较差异有统计学意义,P<0.05;患者病情因素不同、腹腔感染并发率比较差异有统计学意义,P<0.05。结论胆源性、高血脂性、酒精性因素是导致急性胰腺炎患者发病的主要原因,其病因不同,患者的腹腔感染率也有明显差异,在临床治疗中需做好针对性预防感染工作。
Objective To investigate the clinical features and pathogenesis of memory pancreatitis,and to provide reference for clinical diagnosis and treatment.Methods Clinical cases of 240 patients with memory pancreatitis admitted to our hospital from January 2017 to December 2019 were retrospectively analyzed.According to the diagnosis and treatment standard of acute pancreatitis treatment guidelines,240 patients were given fasting,acid and enzyme inhibition,anti-infection,fluid rehydration,nutritional support and ECG monitoring.Patients with dyspnea were given symptomatic supportive treatment of mechanical ventilation and ECG monitoring.To find out the clinical features and pathogenesis factors of acute pancreatitis,to analyze the biliary risk factors in the aggravation stage of acute pancreatitis,and to make an in-depth analysis of the influence and role of biliary risk factors in the complication and aggravation of acute pancreatitis.Results There was no significant difference in the data of patient year and the severity of the disease,P>0.05;there were statistically significant differences in the comparison of complication rates among patients with different disease factors,P<0.05;there were statistical differences in the comparison of complication rates of intra-abdominal infection with different disease factors Academic significance,P<0.05.Conclusion Biliary,hyperlipidemic,and alcoholic factors are the main causes of the morbidity of patients with acute pancreatitis.The causes of acute pancreatitis are different,and the rate of intra-abdominal infection of patients is also significantly different.In clinical treatment,targeted infection prevention work should be done.
作者
杜宪勇
DU XianYong(Department of Gastroenterology,Tieling Central Hospital,Tieling 112000,China)
出处
《中国医药指南》
2022年第14期5-8,共4页
Guide of China Medicine
关键词
急性胰腺炎
临床特征
发病因素
感染
Acute pancreatitis
Clinical features
Pathogenic factors
Infection
