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胆道结石与胆源性胰腺炎的关系

李玮佳 李振方 张倩 李聪 王凤娇 赵琦

引用本文:
Citation:

胆道结石与胆源性胰腺炎的关系

DOI: 10.12449/JCH241031
基金项目: 

济南市临床医学科技创新计划项目 (202328034)

利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:李玮佳、李振方、赵琦负责课题设计,资料分析,撰写论文;张倩、李聪、王凤娇参与收集数据,修改论文;赵琦负责拟定写作思路,指导撰写文章并最后定稿。
详细信息
    通信作者:

    赵琦, klyjr@sina.com (ORCID: 0009-0000-0660-126X)

The association between gallstone and biliary pancreatitis

Research funding: 

Clinical Medical Development Program of Jinan Science and Technology Bureau (202328034)

More Information
    Corresponding author: ZHAO Qi, klyjr@sina.com (ORCID: 0009-0000-0660-126X)
  • 摘要: 急性胰腺炎是临床上最常见的急腹症之一,胆道疾病、酒精、胰管疾病、代谢障碍如高甘油三酯血症和高钙血症、过度进食、十二指肠降段疾病如十二指肠乳头旁憩室等是急性胰腺炎的常见病因。根据病因将急性胰腺炎分为胆源性胰腺炎、高脂血症性胰腺炎等。胆源性胰腺炎的致病因素很多,在全球范围内,胆道结石等胆系疾病仍是胆源性胰腺炎最主要的病因。各种病因导致的胆胰管排流不畅及压力异常、胆汁向胰管反流、胰液引流受阻、胰酶异常活化是导致胆源性胰腺炎发生的中心环节。胆道结石所在部位、结石大小、质地、数目、形状等与胆源性胰腺炎的发病率及严重程度一定的关系。

     

  • 图  1  胆源性胰腺炎发病机制

    Figure  1.  Pathogenesis of biliary pancreatitis

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