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目的 通过对急性胰腺炎的分析 ,了解其肝损害情况 ,探讨肝损害的原因及对预后的影响。方法 分析了 5 4例急性胰腺炎病人中丙氨酸转氨酶 (ALT)升高或胆红素升高情况 ,以反映肝损害情况。结果 5 4例中 ,ALT升高 39例 (72 2 % ) ,胆红素升高 32例 (6 1% ) ,6例死亡病历均有肝损害 ,48例治愈病历中 32例有肝损害。结论 急性胰腺炎病人多数伴有转氨酶升高、胆红素升高等肝损害。肝细胞损害程度与胰腺炎症成正比。与胰腺炎病因无关。急性胰腺炎合并肝损害时不但可加重胰腺炎病情 ,而且影响胰腺炎预后。
Objective Through the analysis of acute pancreatitis, understand the liver damage, explore the causes of liver damage and prognosis. Methods A total of 54 patients with acute pancreatitis were analyzed for elevated alanine aminotransferase (ALT) or elevated bilirubin to reflect liver damage. Results In 5 4 cases, ALT increased in 39 cases (72.2%) and bilirubin increased in 32 cases (61%). All 6 cases died of liver damage, and 48 cases cured liver disease in 32 cases. Conclusion Most patients with acute pancreatitis accompanied by elevated transaminases, elevated bilirubin and other liver damage. The degree of hepatocellular damage is directly proportional to pancreatic inflammation. Has nothing to do with the cause of pancreatitis. Acute pancreatitis with liver damage can not only aggravate the condition of pancreatitis, but also affect the prognosis of pancreatitis.