【摘要】 1973～1984年,内外科共收治急性胰腺炎143例,其中28例经手术证实,其余115例依据临床表现、血清/或尿淀粉酶升高作出诊断。水肿型123例,10例手术证实;出血坏死型20例,18例手术证实。胆道疾患是其发病主要原因,为43.2%。急性胰腺炎的起病形式,本组分为急性胃肠炎表现、胆道疾病表现、急腹症表现、类冠心病发作表现和休克表现。提出临床分型意见,即单纯型、炎症型和休克型。阐述了分型依据与优点。最后评定了本组病例的预后和影响预后的因素。总治愈率为86%。总死亡率为9.9%。出血坏死型死亡率为65%。更多还原

【Abstract】 143 cases with acute pancreatitis were admitted of the nedical departm- ent and surgical department of the first affiliated hospital,henna medic al university during 1973—1984. 28 cases were confirmed with laparotomy,-and the other 115 cases were diagnosed with the clinical menifestations and the elevation of serum and/or urine amylase levels. In 123 cases with acute edematous pancreatitis diagnosed with exploration, and 18 out of 20 cases with hemorrhagic and necrotic pancreatitis were contirmed with exploration. This paper indicated that the main cause of acute pancreatitis is biliar/disordere(43.2%).According to the clinical menifestations of the disease,we classified it into three types:simple,inflammatory and shock types. The 123 cases with acute edematous pacreatitis all survived.The mortality of acute hemorrhagic and necrotic pancreatitis was 65%.更多还原