论文部分内容阅读
目的:探讨重型急性胰腺炎(SAP)和轻型急性胰腺炎(MAP)时血浆清蛋白、血脂、血糖和血钙、血镁、血磷、血钾等的代谢异常及发生机制。方法:所有患者入院后24h内,空腹12~14h于次日清晨采静脉血,使用全自动生化分析仪分别测定79例SAP、93例MAP患者的血浆清蛋白、血脂、血糖和血钙、镁、磷、钾等离子浓度,并进行统计学分析。结果:SAP组血浆清蛋白水平、血钙水平较MAP组显著降低,SAP组血糖水平较MAP组显著升高。SAP组血浆清蛋白、血钙降低的发生率及血糖升高的发生率显著高于MAP组。结论:血浆清蛋白、血糖、血钙可以作为评价急性胰腺炎(AP)严重程度的指标,血三酰甘油、血钾、镁、磷不能作为评价AP严重程度的指标。
Objective: To investigate the metabolic abnormalities and pathogenesis of serum albumin, serum lipids, blood glucose and serum calcium, serum magnesium, phosphorus, serum potassium in severe acute pancreatitis (SAP) and light acute pancreatitis (MAP) Methods: All patients were admitted to hospital within 24 h, fasting 12 to 14 h on the morning of the next morning to collect venous blood, the use of automatic biochemical analyzer were measured 79 cases of SAP, 93 cases of MAP plasma albumin, blood lipids, blood glucose and serum calcium and magnesium , Phosphorus, potassium plasma concentration, and statistical analysis. Results: The levels of plasma albumin and serum calcium in SAP group were significantly lower than those in MAP group. The levels of blood glucose in SAP group were significantly higher than those in MAP group. The incidence of plasma albumin, serum calcium and the incidence of hyperglycemia in SAP group were significantly higher than those in MAP group. Conclusion: Plasma albumin, blood glucose and serum calcium can be used as indicators to evaluate the severity of acute pancreatitis (AP). Serum triglyceride, potassium, magnesium and phosphorus can not be used as indicators to evaluate the severity of AP.