灌南地区中学生道路交通伤害的流行病学研究.pdfVIP

大 南 学学 · 5O· JSoutheastUniv MedSciEdttheastUniv嚣 医c学iE版di{2 Jan；27(1) ( )… 一‘’ ．50．53 … Clinical features，diagnosis and therapeutics of 450 acute pancreatitis QIAN Cheng，LIU Ming-dong，LI Yun-hong，ZOU Xiao-ping (Department ofGastroenterology，Drum Tower Hospital，Medical School ofNangfing University，Nanjing 210008，China) Abstract：Objectives To investigate the clinical charactistics of acute pancreatitis(AP)，and to summarize the ex— periences of treatment，improve the diagnostic level and therapeutic effect．Method In this retrospective clinical trial， 450 patients with acute pancreatitis admitted to our hospital from January 2000 to December 2004 were enrolled for anal— ysis the etiology，clinical symptoms，diagnostic cfiefia，complications，therapeutic regimens and prognosis．Results In the 450 patients，366 had mild acute pancreatitis(MAP)(81．3％)，84 had severe acute pancreatitis(SAP)(18．7％)． As for the etiology，biliary tract diseases accounted for 62．7％，alcoholic—induced 15．3％，hyperlipidemia 12．4％ ，other factors 12．9％，unknown causes 18％cases．54 cases(12％)were relapsing acute pancreatitis，among which 57．4％sub fered from biliary tract diseases．The abdominal pain played a major role in the clinical symptoms(97．3％)．82．4％of the patients had serum amylase 3 times higher than the upper normal limit．Around 95．3％ had cute pancreatitis con— firmed by CT scan．The main local complications of SAP were pancreatic pseudocyst(19．O％)．Organ dysfunction／failure was presented in 67．9％of the severe cases．The rate of multiple organ dysfunction(MODS)in SAP was 26．2％，and that of fulminate pancreatitis was 25％．96．7％ of patients received antibiotics，and 98．9％ received H2RA or PPI．Par— enteral nutrition(PN)was given in 88％ofthe patients，and early