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目的:探讨急性胰腺炎患者并发肝脏损害的临床特点。方法:对我院2003年5月至2009年5月收治的320例急性胰腺炎病例资料进行回顾性分析,以了解肝损害的发生率、肝损害程度以及对病程的影响。结果:320例急性胰腺炎患者中有128例合并有肝损害,占40.2%,其中轻症胰腺炎(MAP)238例,肝损害重症胰腺炎(SAP)82例;重症急性胰腺炎较轻症急性胰腺炎肝损害发生率高(分别为95.7%和21.1%,二者比较P<0.01)。SAP肝功能损害较MAP重,差异有显著性(P<0.05)。结论:急性胰腺炎肝损害的程度与病情严重性呈正相关。
Objective: To investigate the clinical features of liver injury in patients with acute pancreatitis. Methods: The data of 320 cases of acute pancreatitis admitted to our hospital from May 2003 to May 2009 were retrospectively analyzed to find out the incidence of liver damage, the degree of liver damage and the impact on the course of the disease. Results: 128 of 320 patients with acute pancreatitis had liver damage, accounting for 40.2%, including 238 cases of mild pancreatitis (MAP) and 82 cases of severe acute pancreatitis (SAP). Severe acute pancreatitis was mild Acute pancreatitis has a high incidence of liver damage (95.7% and 21.1%, respectively, P <0.01 for both). SAP liver damage than MAP, the difference was significant (P <0.05). Conclusion: The degree of liver damage in acute pancreatitis is positively correlated with the severity of the disease.