【摘要】 目的 :探讨急性胰腺炎的病因 ,旨在提高对急性胰腺炎发病因素的认识。方法 :回顾性分析我院自 1 992年 1月至 2 0 0 1年 1 2月的内外科住院急性胰腺炎患者 1 0 0 7例。对其发病因素进行分析。结果 :急性胰腺炎发病例数逐年增多 ,1 992年至 1 996年间病例数占同期内外科住院总人数的 0 .36% ,而 1 997年至 2 0 0 1年间则上升为 0 .59% ,两者差异有显著性意义 (P <0 .0 1 )。其中不明原因者所占比例亦呈上升趋势。1 992年至 1 996年间不明原因的急性胰腺炎占同期急性胰腺炎总例数的 1 6 .8% ,1 997年至 2 0 0 1年则上升为32 .9% ,两者差异有显著性意义 (P <0 .0 1 )。月份分布情况表明 ,急性胰腺炎发病呈明显集中趋势 ,月份分布不平衡。结论 :急性胰腺炎发病因素多而复杂 ,病毒感染可能是不明原因急性胰腺炎发病例数增加的一个原因更多还原

【Abstract】 Purpose: Our goal was to explore the etiology and pathogenesis of acute pancreatitis and to enhance the knowledgement of its pathogenesis. Methods: 1 007 patients with acute pancreatitis were admitted to our hospital from January 1992 to December 2001.We reviewed the clinical data to analyse the pathogenesis of acute pancreatitis. Results: The patients of acute pancreatitis increased year and year.The acute pancreatitis rates ranged from 0.36%(1992～1996) to 0.59%(1997～2001),with signifinicant differences (P<0.01).Of all acute pancreatitis,the unconfimed cases had increased:16.8% patients with acute pancreatitis from 1992 to 1996 versus 32.9% ones from 1997 to 2001,with signifinicant differences (P<0.01).The distribution of month indicates that the currence of acute pancreatitis is obviously convergent and the distribution of month is of no balance. Conclusion: The pathogenesis of acute pancreatitis is excessive and complicated.Virus infection may be one of the factors that lead to the increase of acute pancreatitis.更多还原