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目的探讨急性胰腺炎腹痛特点。方法分析我院2008年1月~2014年12月住院治疗的98例急性胰腺炎患者临床资料,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98例患者以腹痛为主诉,腹痛位于上腹部者85.4%(84/98),腹痛位于脐周及下腹部者14.6%(14/98),伴有恶心、呕吐、发热、畏寒等症状者79.4%(78/98)。结论腹痛是急性胰腺炎的主要症状。虽然具有典型急性胰腺炎特点的患者居多,但也不乏腹痛特点不典型者。只有提高对急性胰腺炎腹痛及相关表现的认识,全面细致的询问病史,结合对病情的动态观察和辅助检查结果,才能更早期准确诊断急性胰腺炎,避免误诊。
Objective To investigate the characteristics of abdominal pain in acute pancreatitis. Methods The clinical data of 98 patients with acute pancreatitis treated in our hospital from January 2008 to December 2014 were analyzed. Demographic data, clinical manifestations, treatment and prognosis were collected. Results All 98 patients were mainly abdominal pain, abdominal pain was located in the upper abdomen 85.4% (84/98), abdominal pain was located in the umbilical cord and lower abdomen 14.6% (14/98), with nausea, vomiting, fever, chills, etc. Symptoms were 79.4% (78/98). Conclusion Abdominal pain is the main symptom of acute pancreatitis. Although the majority of patients with the typical characteristics of acute pancreatitis, but there are also many patients with atypical abdominal pain. Only improve the understanding of abdominal pain and related manifestations of acute pancreatitis, a comprehensive and meticulous medical history, combined with the dynamic observation of the disease and the results of ancillary examination, early diagnosis of acute pancreatitis can be more accurate and avoid misdiagnosis.