文档介绍：·16· 疑难病杂志2011 年1 月第10 卷第1 期 Chin J Diffic pl Cas,January 2011,Vol. 10 No. 1
临床研究
酒精中毒与急性胰腺炎的相关性分析
孙连生,孟胜君
作者单位:061000 南方医科大学附属沧州市人民医院肝胆外科(孙连生),综合ICU(孟胜君)
通讯作者:孟胜君,Email:mengshengj@ sina. com
【摘要】目的分析酒精中毒与急性胰腺炎(AP)的相关性。方法收集2004 年4 月—2009 年10 月收治的
213 例AP 病例,其中78 例为酒精相关性胰腺炎(观察组),135 例为胆源性、高脂血症、暴饮暴食等其他病因引起的非
酒精相关性胰腺炎(对照组),对2 组进行回顾性对比分析。结果观察组中男性构成比明显高于对照组(P <
0. 01),急性重症胰腺炎(SAP)的发生率及病死率均高于对照组(P < 0. 01)。观察组的APACHE II 评分、血糖、C 反
应蛋白(CRP)及急性呼吸窘迫综合征(ARDS)、肝功能不全、心功能不全、肾功能衰竭、胰性脑病的发生率明显高于对
照组(P < 0. 05,P < 0. 01)。结论酒精相关性胰腺炎以男性为主,其更易发展为重症胰腺炎,并发症多,病死率高,
早期诊断、及时进入ICU 采取综合救治是抢救成功的关键。
【关键词】中毒,酒精;胰腺炎,急性;分析
【DOI】 10. 3969 / j. issn. 16716450. 2011. 01. 007
The correlation analysis of alcoholism and acute pancreatitis SUN Liansheng,MENG Shengjun.  Department of Hepa
tobiliary Surgery,Cangzhou People's Hospital Affiliated to Nanfang Medical University,Heibei Province,Cangzhou 061000,Chi
na
【Abstract】 Objective To analyze the correlation of alcoholism and acute pancreatitis. Methods Collected 213 pa
tients of acute pancreatitis(AP)from Apr 2004 to Oct 2009. The acute alcoholic pancreatitis were 78 samples(observation
group);The rest were pancreatitis with reasons of cholelithiasis,hyperlipemia,binge overeating and others (control group).
parative analysis was employed in two groups. Results The constituent ratio of male in observation group
was obviously hig