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[胆源性急性胰腺炎]

[Acute pancreatitis of biliary etiology].

作者信息

Pérez Castrillón J L, Cruz Vicente J M, Benítez Domínguez J A, Escudero Sereno V, Fernández Bermejo F, Montes Ramírez J M, Pareja Grande J, Carbonero de la Fuente F

机构信息

Servicio de Medicina Interna, Hospital de Llerena, Badajoz.

出版信息

Rev Esp Enferm Dig. 1990 May;77(5):337-40.

PMID:2390355
Abstract

A retrospective study has been carried out, comparing 87 patients with acute pancreatitis of biliary etiology and 53 patients with pancreatitis secondary to other causes. The clinical presentation, laboratory data, radiological findings (chest X-rays, radiography of the abdomen and gastrointestinal, echography), morbidity and mortality have been analyzed. In acute pancreatitis related to biliary disease, pain is most frequently located in the right hypochondrium and the levels of amylase, GOT, GPT an alkaline phosphatase were higher, although only the last two parameters showed significant differences. Morbidity (local and general complications) did not show differences in both groups, but mortality was higher in pancreatitis secondary to biliary disease (5.6% compared to 3.7%).

摘要

已开展一项回顾性研究,比较了87例胆源性急性胰腺炎患者和53例其他原因所致胰腺炎患者。分析了临床表现、实验室数据、放射学检查结果(胸部X光、腹部及胃肠道造影、超声检查)、发病率和死亡率。在胆源性急性胰腺炎中,疼痛最常位于右季肋部,淀粉酶、谷草转氨酶、谷丙转氨酶及碱性磷酸酶水平较高,不过仅后两个参数显示出显著差异。两组的发病率(局部和全身并发症)无差异,但胆源性胰腺炎的死亡率更高(分别为5.6%和3.7%)。

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