췌장염의 (膵臟炎) 임상적 (臨床的) 고찰 = The Clinical Study of Pancreatitis

다국어 초록 (Multilingual Abstract)

We h-IVC pl P.Sented a clinical review o.' 3S; estab]ished cases of pancreatit.'s arnnng tiae;>()] paticnts with pancreatic di.,ease during the pericc! Between January 19bi3 and I%:.y ]973, The resuits are as follows; Acute pancreatitis was found in 88'. 97: and the chronic form in ll 1% of the 387 pati- ents. There was no significznt difference in occurrence between both sexes; 49. Ggo were males and ol, 4, were females. The 71. 5% of the patients with acute pan<:reatitis were in the 3rd 5th decade of the life aud fj7. 4% of the patients with chronic pancreatitis were in the 5th 6th decade. 2. The relative incidence of the various etiologies of pancreatitis in our series differs mark- edly from that of other reports. In our series of acute pancreatitis only 5 8% of the patients had gallstones and only g. 9% were alcoholics. The other frequent etiologic factors were dietary factors in 16. 8% and peptic ulcer in 8. L,o. The 58. 7% of the patients appearently h:id no underlyiag etiologic factor. In chronic pancreatitis 30. 1% had gallstoaes and 11. 8% were chronic alcoholics. In [g of the patients with chronic pancr.eatitis the causes were not determined. 3. In acute pancreatitis the upper abdominal pain was a major symptom in g9 7%, radiating pain was present in 31. 9%, nausea aud vomiting in 48. 8% and fever in 16. 9M, In chronic pancr eatitis, abdominal pain was preseot in 90. 6%, radiating pain in 25. 6%, nausea and vom- iiing in 5. 4., fever in 11. 8ia, and jaundice in 9 3p. On laboratory tests, 75 9,: of the patients with acute pancreatitis showed rnore th n ','<,' units,'100 ml of serum amylase, abnormal GTT in 33 3p;, hyperbilirubinemia in ;I. J,,', and hypocalccmia in 23 Opo, The 21. G.o of the patieat= with chronic pancreatitis revealed eievatioz of serum amylase, and abnormal GTT in 63. Q po and hyperbilirubinemia in Q3,,-l;;. The radiologic examinations in acute pancreatitis revealed pleural cffusio in , 4;., pai alytic ileus in 67, gg, r onvisualized gallhladder in 27. 5.'o, and compressiov of tl' -tomach and duodenum in 3b. 3Fa. In the chronic pancreatitis pleural effusion was pvesent in g,, p,,, pancreatic ealcification in 4 cases, r a0iolucent gallst.ones in '>]. 1,:, and compre. Sioa c f tlie stomach and duo3enum in 42. S%. The 89 6,,' of the patients with acute pancre,:titis had medical treatment and J(l 4; had urpical treatment; whereas (jL, of chronc pancrcatitis had medical tre;.t;aent aud gi, h:id sur gi<;!1 trea?ment. The overall mortality in -cutc p ncre;;ti!is wns , '.: The mo tal! Ly of t!ie p tieats iwith medic:al treatr;ient w,.s 2.,>I aucl p;tieots swith surgical lrea! Mcrit 5 (!,,, 'I'hei e was no death in chro!.-.I< pnncre-:titis (iur:ng admi,.;ion. The comp!icat!ov..; developed in 1>. 5. Of ihi p;it!crit with ccte p:.ncie::tit:s a ii 'I,. .l-; of the p: iients tvit'.I o! cl;I or .c p.ncrc. Titi.;.