急性胰腺炎104例腹痛临床特点分析  

Characteristics of acute pancreatitis associated abdominal pain:an analysis of 104 cases

作　　者：崔凝[1] 罗和生[1] 

机构地区：[1]武汉大学人民医院消化内科,武汉430060

出　　处：《中国实用内科杂志》2011年第2期130-132,共3页Chinese Journal of Practical Internal Medicine

摘　　要：目的探讨急性胰腺炎腹痛的特点。方法回顾性分析武汉大学人民医院2007年1月至2009年12月住院诊治的急性胰腺炎104例临床资料,分别统计人口统计学资料、临床表现及治疗与转归。结果全部104例患者均以腹痛为主诉,多数患者具有典型的腹痛症状,但也不乏腹痛特点不典型者。诱因为进食零食、水果者占5.8%(6/104);疼痛位于脐周及下腹部等不典型部位者12.5%(13/104);腹痛性质为隐痛及胀痛者29.8%(31/104);有恶心、呕吐、发热、畏寒等伴随症状者65.4%(68/104);早期加用生长抑素疼痛缓解时间明显缩短者82.7%(86/104)。结论腹痛是急性胰腺炎患者的主要症状。目前确诊的急性胰腺炎患者中,虽具有典型急性胰腺炎腹痛特点的患者居多,但也不乏腹痛特点不典型的患者。只有提高对急性胰腺炎腹痛及相关表现的认知,更加全面细致的病史询问,结合对病情的动态观察及辅助检查结果,才能更好的早期、准确诊断急性胰腺炎,避免误诊。Objective To study the clinical features of abdominal pain of acute pancreatitis （AP）. Methods The clinical data of 104 AP patients ,who were treated from January 2007 to December 2009 in our hospital were retrospectively studied. Results Abdominal pain was the chief complaint of the 104 patients（ 100% ）. Although most of them had typieal characteristics of abdominal pain, a few had atypical characteristics. Incentives such as eating snacks and fruits accounted for 5.8% （6/104）. Pain around the navel and in hypogastric region accounted for 12. 5% （13/104）. And 29. 8% （31/104） patients stated dull pain and bursting pain. Simultaneous syinptoms including nausea, vomiting, fever and chilly in 65.4% patients （68/104）. Early somatostatin therapy can apparently abridge the period of anesis. Conclusion Abdominal pain is the primary symptom of AP patients. However, some patients have no typical characteristics of abdominal pain. Acquaintance of clinical manifestation of abdomi- nal pain in acute pancreatitis patients can help to make definite diagnosis in the early phase.

关 键 词：急性胰腺炎 腹痛 

分 类 号：R5[医药卫生—内科学]