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急性胰腺炎(AP)的流行病学特征:沙特阿拉伯西部地区最大的单中心队列研究

Epidemiological Features of Acute Pancreatitis (AP): Largest Single-Center, Cohort Study in the Western Region of Saudi Arabia.

作者信息

Aljiffry Murad M, Alhazmi Mohammed F, Abu Alqam Rakan, Takieddin Siba Z, Abulfaraj Moaz

机构信息

Surgery, King Abdulaziz University Hospital, Jeddah, SAU.

Medicine and Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.

出版信息

Cureus. 2023 May 2;15(5):e38445. doi: 10.7759/cureus.38445. eCollection 2023 May.

DOI:10.7759/cureus.38445
PMID:37273380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10234453/
Abstract

BACKGROUND

Acute pancreatitis (AP) is a medical emergency which can range in severity from a mild, self-limiting condition to a catastrophic event that results in multiorgan failure. This study aimed to evaluate the epidemiological characteristics of AP.

METHODS

This study included all patients diagnosed with AP at King Abdulaziz University Hospital, a tertiary care hospital in Jeddah, Saudi Arabia, between 2017 and 2021. The main aim of this study was to investigate the frequency of AP in patients who present to the hospital with abdominal pain. Secondary objectives included analyzing the causes, complications, severity, and outcomes of the patients.

RESULTS

A total of 67 patients were included. AP constituted 11.6% of all cases of patients presenting to the hospital with abdominal pain. Only seven patients presented with severe AP, which was significantly associated with advanced age (over 60 years old). The primary causes of AP were biliary and idiopathic pancreatitis, accounting for 80.6% of the cases. The most frequent complications observed were peripancreatic fluid collection and atelectasis, which occurred in 40.3% of cases.

CONCLUSION

AP is a prevalent condition in patients with abdominal pain, with biliary pancreatitis being the leading cause of the disease. The majority of patients exhibited mild to moderate severity of symptoms and experienced positive outcomes when treated appropriately.

摘要

背景

急性胰腺炎(AP)是一种医疗急症,严重程度从轻度自限性疾病到导致多器官功能衰竭的灾难性事件不等。本研究旨在评估AP的流行病学特征。

方法

本研究纳入了2017年至2021年期间在沙特阿拉伯吉达的一家三级护理医院阿卜杜勒阿齐兹国王大学医院被诊断为AP的所有患者。本研究的主要目的是调查因腹痛到医院就诊的患者中AP的发生率。次要目标包括分析患者的病因、并发症、严重程度和结局。

结果

共纳入67例患者。AP占因腹痛到医院就诊的所有病例的11.6%。只有7例患者表现为重症AP,这与高龄(60岁以上)显著相关。AP的主要病因是胆源性和特发性胰腺炎,占病例的80.6%。观察到的最常见并发症是胰周积液和肺不张,发生率为40.3%。

结论

AP在腹痛患者中很常见,胆源性胰腺炎是该疾病的主要原因。大多数患者症状表现为轻至中度,经适当治疗后预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f17/10234453/e1bd3fe555c9/cureus-0015-00000038445-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f17/10234453/928807f00477/cureus-0015-00000038445-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f17/10234453/e1bd3fe555c9/cureus-0015-00000038445-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f17/10234453/928807f00477/cureus-0015-00000038445-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f17/10234453/e1bd3fe555c9/cureus-0015-00000038445-i02.jpg

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