目的：探讨复发性急性胰腺炎的临床特征及病因，旨在有效的指导临床治疗。方法选择我院收治的226例急性胰腺炎患者，其中首发AP的患者182例（A组），复发性急性胰腺炎患者为44例（B组），对两组患者的发病原因进行比较分析，并对复发性急性胰腺炎采取相应的治疗措施。结果 B组的饮食因素、高脂血症患者比例显著低于A组（P<0.05），而结石性胆囊炎、胆总管扩张、胆总管结石及十二指肠乳头病变患者比例则显著高于A组（P<0.05）。复发性急性胰腺炎患者中，6例采取保守治疗，38例采取手术治疗，随访6个月~2年，保守治疗中1例患者因胰性脑病死亡，余患者无胰腺炎复发情况。结论根据复发性急性胰腺炎的病因采取针对性的治疗措施，不仅能够提高患者的治愈率，还可以有效的减少胰腺炎的复发病例。%Objective To explore the clinical features and etiology of recurrent acute pancreatitis, to guide the clinical therapy for effective. Methods 226 cases of acute pancreatitis in our hospital, including 182 cases of first-episode patients with AP (group A), patients with recurrent acute pancreatitis in 44 cases (group B), carry on comparative analysis to the cause of disease in patients of the two groups, and take corresponding measures for treatment of recurrent acute pancreatitis. Results In B group, dietary factors, the proportion of patients with hyperlipidemia were lower than those in A group (P<0.05), and calculous cholecystitis, dilatation of common bile duct, common bile duct calculi patients with duodenal papilla lesion and the proportion was higher than that in A group (P<0.05). In patients with recurrent acute pancreatitis, 6 cases of conservative treatment, 38 cases by operation treatment, follow-up of 6 months to 2 years of conservative treatment, 1 patients died of pancreatic encephalopathy, others had no recurrence of pancreatitis. Conclusion According to the etiology of recurrent acute pancreatitis and take appropriate treatment measures, not only can improve the cure rate of patients, but also can effectively reduce the recurrence of pancreatitis.
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