Læknablaðið - 15.08.1991, Blaðsíða 19

LÆKNABLAÐIÐ
225
í okkar rannsókn (tafla II) endurspegla
sjúkdómsástandið í þessum sjúkdómi og eru
því nothæfir til flokkunar. Horfumar versnuðu
eftir því sem jákvæðum þáttum fjölgaði.
Ekki var unnt að taka með súrefnisþrýsting
blóðs, þar sem sú mæling hafði aðeins
verið gerð í fáeinum tilfellum. Þessu var
mjög svipað háttað í áðumefndri rannsókn á
Landspítalanum (8). Þrír af sjö sjúklingum
sem dóu flokkast samkvæmt þessu með milt
sjúkdómsástand. Má meðal annars rekja það
til þess, að nánari upplýsingar skorti um þá
sem deyja mjög fljótlega eftir að bólgukastið
byrjar.
ÁLYKTUN
Orsakir bráðrar brisbólgu á íslandi virðast
vera svipaðar og í mörgum nágrannalöndum
okkar þótt sjúklingahópurinn með óskýrða
bólgu sé óvenjustór. Virðist nauðsynlegt
að bæta greiningartækni varðandi þennan
sjúkdóm. Dánartíðni og tíðni fylgikvilla er
jafnframt svipuð og annars staðar. Reynd kerfi
forspárþátta hafa ótvírætt gildi við flokkun
sjúklinga eftir horfum á fyrstu dögum eftir
innlögn á sjúkrahús.
SUMMARY
This is a retrospective study of 189 patients with
acute pancreatitis admitted to Reykjavik City
Hospital during a 10-year period, 1974-1983.
35% of cases were gallstone related, 26% were
alcohol related and 30% were idiopatic. Gallstone
related pancreatitis increased with age and was
the most frequent cause among elderly women.
Men under 60 years of age comprised most of the
alcohol related group. Mortality was 4.7%. The
complication rate was significant, comparable to
other foreign studies. There was some correlation
between high amylase levels on admission
and length of hospital stay. Six biochemical
factors as well as age proved prognostically
valuable relative to mortality and complications.
However prospective study with use of clinical
and biochemical factors will be necessary to obtain
clear answers to their real practical value and for
comparison with other similar studies.
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