Svensson J O, Norbäck B, Bokey E L, Edlund Y
Br J Surg. 1979 Mar;66(3):159-61. doi: 10.1002/bjs.1800660306.
Two groups of patients admitted with a first attack of acute pancreatitis are reviewed. The first group, consisting of 105 patients, was admitted between 1968 and 1969; the second group of 204 patients was admitted between 1974 and 1975. These groups were compared with one of 454 patients admitted between 1956 and 1960 whose details were published earlier by our unit (Edlund et al., 1968). The aim of this study was to determine whether the incidence of factors associated with pancreatitis within the population of the city of Göteborg had changed in the 20-year period. In the 1956--60 group gallstone disease was the main associated factor (68 per cent), but in the later groups alcohol-induced pancreatitis assumed the leading role (68 and 66 per cent respectively). Alcohol-induced pancreatitis tended to occur at a younger age than gallstone pancreatitis. Thirty-one per cent of 449 patients admitted with an acute attack of alcoholic pancreatitis in the two last periods of study had had previous attacks.
对两组首次发作急性胰腺炎而入院的患者进行了回顾性研究。第一组由105名患者组成，于1968年至1969年间入院；第二组有204名患者，于1974年至1975年间入院。将这两组患者与1956年至1960年间入院的454名患者组成的一组进行比较，我们单位（埃德伦德等人，1968年）曾较早公布过这组患者的详细情况。本研究的目的是确定在20年期间，哥德堡市人群中与胰腺炎相关的因素发生率是否发生了变化。在1956 - 1960年那组中，胆结石病是主要的相关因素（68%），但在后来的两组中，酒精性胰腺炎占据了主导地位（分别为68%和66%）。酒精性胰腺炎往往比胆结石性胰腺炎发病年龄更小。在最后两个研究阶段因酒精性胰腺炎急性发作入院的449名患者中，31%曾有过发作史。
