Analysis Of The Etiology And Clinical Features Of 1292 Cases Of Acute Pancreatitis

Objective To investigate the etiology and clinical features of acute pancreatitis(AP) in Ningxia and its surrounding areas, and to summarize the epidemiological characteristics of AP, and to provide reference for clinical diagnosis and treatment.Methods Using the electronic medical database of General Hospital of Ningxia Medical University, 1292 patients were admitted for acute pancreatitis in 2011-2014(excluding 188 cases of the result is not complete or recurrence), and grouped by different causes, and compare the different causes between sex, age, laboratory testing index, and severity of complications, the difference of the AP plication of statistical software for statistical correlation analysis, to analyze the clinical features of different etiologies.Result In 1292 patients, 286 cases in 2011, 295 cases in 2012, 322 cases in 2013, 389 cases in 2014; 801 cases of male patients, 491 cases of female patients; 702 cases of biliary(54.3%), 129 cases of alcohol(9.98%), hyperlipidemia in 220 cases(17.3%), 202 cases of idiopathic(15.63%), the other 39 cases(3.02%); and the biliary AP average age was 57.35±15.43 years old,alcohol with an average age of 42.65±10, and hyperlipidemia AP mean age 40.24 + 9.48; BMI, GLU, TG value of hyperlipidemia is higher than biliary,ALT, TBIL,AMY values were significantly lower biliary;See more at local complications of acute fluid accumulation,give priority to with gallstone, followed by hyperlipidemia;systemic complications mostly MODS. Severe acute pancreatitis(SAP) 339 patients(26.2%), moderately severe acute pancreatitis(MSAP) 252 cases(19.5%), mild acute pancreatitis(MAP) 701 cases(54.3%); SAP was 31.8% of alcoholic acute pancreatitis, which was insignificantly higher than those in biliary acute pancreatitis and hyperlipidemia acute pancreatitis(P>0.05).Conclusion This study shows that nearly four years in Ningxia and the surrounding areas gradually increased incidence of AP, and the major causes of acute pancreatitis were biliary, alcoholic and hyperlipidemia;among elderly male patients with biliary mainly, hyperlipidemic and alcoholic pancreatitis is more common in young and middle-aged males; alcoholic severity acute pancreatitis was insignificantly higher than those in biliary acute pancreatitis and hyperlipidemia acute pancreatitis;there is an evident relationship between BMI, GLU, TG and hyperlipidemia due to the severity of AP.