Balthazar EJ.Acute pancreatitis:assessment of severity with clinical and CT evaluation[J].Radiology,2002,223(3):603-613
而ARP患者更积极探究其发病原因有关。
本研究两组患者在CT分级、局部并发症及重
5
P>0.05)症胰腺炎发生率方面,差异无统计学意义(。
可能与积极针对病因学进行治疗,大多数患者治愈后胰腺功能恢复,不造成永久性损害有关。
综上所述,胆源性因素和高脂血症因素是ARP发生的主要原因,积极的医学干预是减少ARP发生的有效手段。
6 Folsch UR,Nitsche R,Ludtke R,et al.Early ERCP and papillotomy compared with conservative treatment for acute biliary pancreatitis.The German Study Group on Acute Biliary Pancreatitis[J].N Engl J Med,1997,336:237-242
7 Jang JW,Kim MH,Jeong SU,et al.Clinical characteristics of intraductal papillary mucinous neoplasm manifesting as acute pancreatitis or acute recurrent pancreatitis[J].Journal of Gastroenterology and Hepatology,2013,28(4):731
8 蒋丽丽,李兆申.急性胰腺炎复发诱因及内镜治疗[J].中华胰腺病杂志,2010,5(1):37-39
参
1
考文献
9
姚东英,王小平,王淼,等.急性复发性胰腺炎发生的影响因素及预测指标[J].中华实用临床与治疗杂志,2018,32(7):650-653
Doubilet H,Mulholland JH.Recurrent acute pancreatitis,observations on etiology and surgical treatment[J].Annals of Surgery,1948,128(4):609-638
10
Andriy V,Samokhvalov,Jürgen Rehm.Alcohol Consumption as a Risk Factor for Acute and Chronic Pancreatitis:A Systematic Review and a Series of Meta-analyses[J].EBio Medicine,2015,2(12):1996-2002
2 Coté GA,Imperiale TF,Schmidt SE,et al.Similar efficacies of biliary,with or without pancreatic,sphincterotomy in treatment of idiopathic recurrent acute pancreatitis[J].Gastroenterology,2012,143:1502-1509
11
急性胰腺炎协作组.中国6223例急性胰腺炎病因及病死率分析[J].中华胰腺病杂志,2006,6:321-325
3 Vishal Khurana,Ishita Ganguly,Recurrent Acute Pancreatitis,JOP[J].Pancreas(Online)2014,15(5):413-426
12 牛蕾,葛春林.急性复发性胰腺炎与高脂血症的互为因果关系及临床特点[J].世界华人消化杂志,2018,24(30):4205-4210
4 中华医学会消化病学分会胰腺疾病学组.中国急性胰腺炎诊治指南[J].中华消化杂志,2013,33(4):217-222
13 温彦丽,郝婷婷,戴光荣,等.急性复发性胰腺炎288例病因分析[J].陕西医学杂志,2015,44(1):68-70
(收稿:2019-05-29)
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