[布基纳法索亚尔加杜·韦德拉奥果大学医院的急性胰腺炎]

[Acute pancreatitis at the Yalgado Ouedraogo University Hospital in Burkina Faso].

作者信息

Ouangré E, Zaré C, Belemlilga B G L, Sanou A, Zongo N, Sawadogo E, Théa K, Zida M, Gnonli P, Traoré S S

机构信息

Service de Chirurgie Viscérale CHU Yalgado Ouédraogo de Ouagadougou.

Service de Chirurgie Générale, CHU Souro-Sanou de Bobo-Dioulasso.

出版信息

Mali Med. 2016;31(1):8-12.

PMID:30079657

Abstract

AIMS

To study the epidemiological, diagnostic, etiologic, therapeutic and evolutionary aspects of acute pancreatitis in Burkinabe.

MATERIALS AND METHODS

We conducted a cross-sectional descriptive study referred from records of patients hospitalized for acute pancreatitis in the Department of General and Digestive Surgery of the Yalgado Ouedraogo University Hospital in Burkina Faso from 1 January 2007 to 31 December 2012.

RESULTS

We noted 30 cases of acute pancreatitis, a frequency of 0.46 % of hospitalizations and an annual incidence of 4.6 cases per year. There were 22 men. The average age was 42.7 years. Alcohol consumption was found in 56.7%. The clinical aspects were dominated by abdominal pain (100%). Lipasemia was more than three times normal values in 66.3% of cases. An abdominal ultrasound was performed in 26.7% of cases and an abdominal CT was carried out in 50% of cases. The Balthazar score was evaluated in 15 patients and was lower in stage C in 9 cases. The treatment was mainly medical. The evolution was marked by the occurrence of systemic complications in 40% of patients and one death was recorded.

CONCLUSION

Patients suffering from financial hardships present a major handicap for the diagnosis and early treatment.

摘要

目的

研究布基纳法索急性胰腺炎的流行病学、诊断、病因、治疗及病情发展情况。

材料与方法

我们开展了一项横断面描述性研究，数据来源于2007年1月1日至2012年12月31日期间在布基纳法索亚尔加杜·韦德拉奥果大学医院普通及消化外科住院治疗急性胰腺炎患者的病历记录。

结果

我们共记录了30例急性胰腺炎病例，占住院病例的0.46%，年发病率为每年4.6例。其中男性22例。平均年龄为42.7岁。56.7%的患者有饮酒史。临床症状以腹痛为主（100%）。66.3%的病例脂肪酶水平超过正常值三倍以上。26.7%的病例进行了腹部超声检查，50%的病例进行了腹部CT检查。对15例患者进行了巴尔萨泽评分，其中9例处于C期，评分较低。治疗主要为药物治疗。40%的患者出现了全身并发症，记录到1例死亡病例。