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[急性胰腺炎的临床方面]

[Clinical aspects of acute pancreatitis].

作者信息

Röthlin M, Strittmatter C, Geroulanos S, Largiadèr F

机构信息

Klinik für Viszeralchirurgie, Universitätsspital Zürich.

出版信息

Schweiz Med Wochenschr. 1989 May 27;119(21):752-4.

PMID:2756404
Abstract

55 patients with acute pancreatitis were treated at this institution between 1979 and 1984. The female/male ratio was 3:2. Biliary pancreatitis was found in 51%. In 15% alcohol was the cause, while in 34% the etiology remained unknown. The main symptoms were acute abdominal pain (100%), nausea and vomiting (51%), fever (35%), and peritoneal irritation (27%). Twenty-two patients were treated conservatively, while the remainder underwent surgery either in or after the acute phase of the disease. Hospital mortality was 0% for a Ranson Score up to 4.25% for 5/6 and 50% for greater than 6.

摘要

1979年至1984年间,该机构共治疗了55例急性胰腺炎患者。男女比例为3:2。51%的患者为胆源性胰腺炎。15%的病因是酒精,34%的病因不明。主要症状为急性腹痛(100%)、恶心呕吐(51%)、发热(35%)和腹膜刺激征(27%)。22例患者接受保守治疗,其余患者在疾病急性期或急性期后接受手术。兰森评分≤4时,医院死亡率为0%;评分5/6时,死亡率为4.25%;评分>6时,死亡率为50%。

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