Mínguez M, García A, Boix V
Servicio de M. Interna del Hospital de Villajoyosa.
Rev Esp Enferm Dig. 1995 Dec;87(12):869-73.
To gather epidemiological data on acute pancreatitis (AP) in Alicante area.
A prospective study of patients admitted to all public hospitals with AP during 1991.
Patients over 14 years, with elevation of serum amylase and a consistent clinical presentation, or in whom AP was confirmed at laparotomy or postmortem.
We identified 473 episodes of AP in 450 patients (236 males and 214 females). The mean age was 59.4 years. The annual incidence was 451 per million habitants/year. The commonest aetiology was biliary (52%) followed by idiopathic forms (24.7%), alcoholic (20.2%) and miscellaneous (2.9%). The overall mortality rate was 5.1%. Male were more frequently affected below 50 years of age (2.4 men/1 woman); the ratio being balanced above this age. Biliary etiology was more frequent in women, (63.5%), while alcoholic forms were more frequent in man (96.8%). 5.1% of patients presented more than one episode of AP during the year analysed. AP involved the 0.58% of the all patients admitted to the hospitals and the 0.14% of the all patients attended in hospital emergencies.
收集阿利坎特地区急性胰腺炎（AP）的流行病学数据。
对1991年期间入住所有公立医院的AP患者进行前瞻性研究。
年龄超过14岁，血清淀粉酶升高且临床表现相符，或在剖腹手术或尸检时确诊为AP的患者。
我们在450例患者（236例男性和214例女性）中识别出473例AP发作。平均年龄为59.4岁。年发病率为每百万居民451例/年。最常见的病因是胆源性（52%），其次是特发性（24.7%）、酒精性（20.2%）和其他（2.9%）。总死亡率为5.1%。50岁以下男性受影响更频繁（男女比例为2.4:1）；该年龄以上比例平衡。胆源性病因在女性中更常见（63.5%），而酒精性病因在男性中更常见（96.8%）。在分析的这一年中，5.1%的患者出现不止一次AP发作。AP占所有住院患者的0.58%，占所有急诊患者的0.14%。
