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[急性胰腺炎的流行病学——按病因划分的发病率、复发率、死亡率及长期预后]

[Epidemiology of acute pancreatitis--incidence by etiology, relapse rate, cause of death and long-term prognosis].

作者信息

Imamura Mikio

机构信息

Department of Surgery, National Hospital Organization, Sendai Medical Center.

出版信息

Nihon Rinsho. 2004 Nov;62(11):1993-7.

Abstract

The epidemiology of acute pancreatitis is reported with reference to its incidence by etiology, relapse rate, cause of death and long-term prognosis. According to the national investigation about its epidemiology in 1999, the speculated number of patients was 19,500 in 1998. In 1,688 patients reported in the study, there were 1,051 males and 565 females (1.9:1), and 54.8% of them were of mild type, 19.9% of moderate type and 25.3% of severe type. The incidence peaked in their fifties in males and seventies in females. The three most common causes of acute pancreatitis were alcohol consumption, gallstone and idiopathic disease. The relapse rate of severe acute pancreatitis was 12.5%, and 70% of them relapsed only once. The mortality of severe type due to pancreatitis-related causes was organ failures in 73 % within 2 weeks after its attack, and infectious diseases due to pancreatic infection in 33.3 % after more than three months from its attack.

摘要

本文参考急性胰腺炎的病因发病率、复发率、死亡率及长期预后情况报告了其流行病学特征。根据1999年全国性的流行病学调查,推测1998年的患者数量为19500例。在该研究报告的1688例患者中,男性1051例,女性565例(男女比例为1.9:1),其中54.8%为轻症,19.9%为中症,25.3%为重症。男性发病率在五十多岁达到峰值,女性在七十多岁达到峰值。急性胰腺炎最常见的三个病因是饮酒、胆结石和特发性疾病。重症急性胰腺炎的复发率为12.5%,其中70%仅复发一次。重症胰腺炎相关病因导致的死亡率在发病后2周内有73%是由于器官衰竭,发病三个月后有33.3%是由于胰腺感染引发的传染病。

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