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华西医学  2014 

慢性胰腺炎临床特征分析

DOI: 10.7507/1002-0179.20140203, PP. 672-675

Keywords: 慢性胰腺炎,病因,临床特征,治疗

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Abstract:

目的 探讨慢性胰腺炎(CP)的病因、临床特点、诊断和治疗措施。方法 回顾性总结2008年2月-2011年12月间住院的47例CP患者的临床诊治特点。结果 47例CP患者中,胆源性24例(51.1%),酒精性17例(36.2%);腹部疼痛40例(87.2%),排便次数增多及脂肪泻12例(25.5%),糖尿病13例(27.6%)。临床症状结合超声检查基本确诊者16例(34.0%),CT检查确诊41例(87.2%),经内镜逆行性胰胆管造影检查确诊者31例(88.6%)。腹部X线平片发现有钙化灶者9例。以Ⅱ型和1期患者居多,分别为44.7%和51.1%,其次为Ⅳ型和3期。行手术治疗者13例(27.6%),腹痛症状明显缓解者10例;内镜下治疗者24例(51.6%),腹痛缓解者21例;单纯药物治疗者10例(21.2%),药物选择胰酶制剂、质子泵抑制剂,对合并糖尿病者予以口服降糖药治疗。疼痛明显的加用止痛剂,药物治疗后平均7~14d,疼痛减轻,完全缓解4例。结论 CP发病原因以胆源性为主,CP的疼痛治疗困难,需内科、内镜和外科的综合治疗。

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