226例急性胰腺炎病因分析

摘要

Objectives To investigate the pathological distribution of acute pancreatitis( AP) and its association with the severity of disease.Methods 226 patients were involved in this retrospective analysis of distribution situation of pathological factors,age, genders and etc.Results 92 cases were biliary pancreatitis,which accounted for the majority(40.7%).Hyperlipidemic pancreatitis occupied 34.5%,whereas alcoholic pancreatitis represented 9.3%.Additionally,excessive eating or drinking contributed to 1.3%cases.Conclusions Biliary pancreatitis and hyperlipidemic pancreatitis were the frequent types of AP.The elderly tended to develop the biliary pancreatitis,while young men were inclined to experience hyperlipidemic pancreatitis.%目的：探讨急性胰腺炎的病因分布情况及其与病情严重程度的相关性，以提高急性胰腺炎的诊断及治疗水平。方法回顾性分析2009～2014年226例急性胰腺炎患者的发病病因、年龄、性别等分布情况，采用方差分析及t检验分析以上因素之间有无统计学差异。结果226例患者中胆源性92例（40．7％），高脂血症78例（34．5％），酒精性21例（9．3％），暴饮暴食3例（1．3％），其他32例（14．2％）。结论本研究显示胆源性以及高脂血症性胰腺炎高发，老年患者中以胆源性胰腺炎为主，高脂血症是中青年男性患急性胰腺炎的重要发病原因。