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1 研究对象自1991年1月至1998年10月由邮电总医院内外科病房收治的急性胰腺炎(acute pancreatitis,AP)患者,共计196例。其中男105例,女91例,平均年龄为(43.2±16.0)岁。所有患者均以腹痛为主诉就诊,伴恶心、呕吐者占67.3%,发热者占34.6%。88%的患者左上腹部或中上腹部有压痛。有白细胞升高者占73%,白细胞数一般在10×10~9/L~20×10~9/L之间。所有患者的血尿淀粉酶均高于正常,其中之一高于正常2倍以上者占71.2%,有的高达正常的几十倍。伴有腹痛剧烈、发热不退,出现休克、腹水、低血钙、高血糖、低血氧、低蛋白血症以及出现假性囊肿、胰腺周围脓肿者为重症急性胰腺炎,占所有患者的16%。
1 A total of 196 patients with acute pancreatitis (AP) were admitted to the surgical ward of the General Hospital of Posts and Telecommunications from January 1991 to October 1998. There were 105 males and 91 females, with an average age of (43.2 ± 16.0) years. All patients with abdominal pain as the main complaint, with nausea, vomiting accounted for 67.3%, fever accounted for 34.6%. 88% of patients have tenderness in the upper left or middle abdomen. There are 73% leukocytosis, white blood cell count is generally between 10 × 10 ~ 9 / L ~ 20 × 10 ~ 9 / L between. All patients with hematuria amylase were higher than normal, one of which is higher than the normal 2 times or more accounted for 71.2%, and some up to the normal several times. Accompanied by severe abdominal pain, fever, there shock, ascites, hypocalcemia, hyperglycemia, hypoxemia, hypoproteinemia and the emergence of pseudocyst, abscess around the pancreas were severe acute pancreatitis, accounting for 16% of all patients %.