Research forclinical and paraclinical characteristics of acute pancrea titis at Hai Phong Medical University Hospital in 2022

Abstract

Objective: Described the clinical and paraclinical characteristics of acute pancreatitis at Hai Phong University of Medicine and Pharmacy Hospital in 2022. Method: Cross-sectional, prospective descriptive study. Results and conclusions: Clinical characteristics of acute pancreatitis: abdominal pain (100%), vomiting (56.7%), constipation (20%), abdominal distension (60%), abdominal wall reaction (45%). Blood test characteristics: blood amylase increased more than 3 times accounting for 91.7%. Ultrasound characteristics: echo structure (hypoechoic: 65%, hyperechoic: 2.9%, pancreas not visible: 34%), enlarged pancreas 61.67%, uneven pancreatic edge 60%, dilated pancreatic duct 3.3%, pleural effusion 3.3%, free abdominal fluid 30%, fatty infiltration 51.7%, peripancreatic fluid 55%. CT scan features: Enlarged pancreas 88.3%, irregular pancreatic margins 80%, dilated pancreatic duct 10%, pleural effusion 8.3%, free abdominal fluid 55%, fat infiltration 81.7%, peripancreatic fluid 76.7%, necrosis 0%, edema 100%. BALTHAZAR score was mostly mild, no severe complications (71.7%). Average level was 28.3%. There were no severe cases, high mortality.