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选择12项指标,结合Blamey多指标预测体系,研究影响急性胰腺炎类型与预后的诊断价值。结果表明,Blamey指标中乳酸脱氢酶(LDH)、动脉氧分压(PaO_2)等在本组223例急性胰腺炎水肿型与坏死型之间无显著差异;血糖、尿素氮似定值偏高。Blamey等多种预测体系未列入的腹膜刺激征、移动性浊音及腹穿红包液体等提示较高的诊断价值。腹膜刺激征对坏死型胰腺炎的敏感性为91.95％,特异性93.38％,预测准确性92.83％。腹部移动性浊音及腹穿红色液体在水肿型与坏死型之间、坏死型中死亡组与存活组之间均有显著差异。此两项指标对判断急性胰腺炎的类型及预后有重要价值。
Select 12 indicators, combined with Blamey multi-index prediction system to study the type of acute pancreatitis and prognosis of the diagnostic value. The results showed that there was no significant difference between Blamey index of LDH and PaO_2 in the 223 acute pancreatitis edema and necrosis types; high blood sugar and urea nitrogen . Blamey and other prediction systems are not included in the peritoneal irritation, dullness of movement and abdominal wear red envelopes, suggesting a higher diagnostic value. Peritoneal irritation sign of necrosis pancreatitis was 91.95%, specificity 93.38%, the prediction accuracy of 92.83%. Abdominal migratory dullness and abdominal wear red liquid between the edema type and necrosis type, necrosis type of death group and survival group were significantly different. These two indicators have important value in judging the type and prognosis of acute pancreatitis.