Objectives: Retrospective analysis of Severe acute pancreatitis caused by biliary diseases or biliary structure abnomal and Hyperlipidemic.To comparing the differences between SABP and HLSAP in prophase clinical manifestation,onset time, length of stay, complications, therapeutic effects and blood biochemical indicator to guide clinical diagnosis and therapy SAP.Method: One hundred cases of SAP in The First Teaching Hospital of Xinjiang Medical University's Pancreatitis and Emergency department were retrospectively analyzed and divided into 2 groups by etiological factors. There were 66 cases in SABP group and 34 cases in HLAP group. The general conditions were analyzed.The prophase clinical manifestation,onset time, length of stay, complications, therapeutic effects and blood biochemical indicator were compared. Result: The onset time,length of stay,complications, therapeutic effects, the levels of serum calcium and white blood cell count had not statistical discrepancy between two groups(P>0.05). The blood glucose of HLSAP group was higher than SABP group. the levels of serum and urine amylases and prophase clinical manifestation were obviously statistical discrepancy (P<0.05). Conclusion: As the different etiological factors caused SAP,There were not difference in onset time, length of stay, complications, therapeutic effects, the levels of serum calcium and white blood cell count between SABP and HLAP, The blood glucose and abdominal distension symptom of HLSAP group was higher than SABP group.In contrast to HLSAP group, the levels of serum and urine amylases of SABP were higher ,and prophase clinical manifestation (nausea,vomitytting,fever symptoms)were more significantly. |