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急性胰腺炎:病因、临床表现、诊断及治疗

Acute pancreatitis: etiology, clinical presentation, diagnosis, and therapy.

作者信息

Cappell Mitchell S

机构信息

Division of Gastroenterology, Department of Medicine, William Beaumont Hospital, MOB 233, 3535 West Thirteen Mile Road, Royal Oak, MI 48073, USA.

出版信息

Med Clin North Am. 2008 Jul;92(4):889-923, ix-x. doi: 10.1016/j.mcna.2008.04.013.

Abstract

Acute pancreatitis is a relatively common disease that affects about 300,000 patients per annum in America with a mortality of about 7%. About 75% of pancreatitis is caused by gallstones or alcohol. Other important causes include hypertriglyceridemia, medication toxicity, trauma from endoscopic retrograde cholangiopancreatography, hypercalcemia, abdominal trauma, various infections, autoimmune, ischemia, and hereditary causes. In about 15% of cases the cause remains unknown after thorough investigation. This article discusses the causes, diagnosis, imaging findings, therapy, and complications of acute pancreatitis.

摘要

急性胰腺炎是一种相对常见的疾病,在美国每年约有30万患者受其影响,死亡率约为7%。约75%的胰腺炎由胆结石或酒精引起。其他重要病因包括高甘油三酯血症、药物毒性、内镜逆行胰胆管造影术所致创伤、高钙血症、腹部创伤、各种感染、自身免疫、缺血及遗传因素。在约15%的病例中,经过全面调查后病因仍不明。本文讨论急性胰腺炎的病因、诊断、影像学表现、治疗及并发症。

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