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目的探讨重症急性胰腺炎胰腺感染对机体的危害及控制胰腺感染的措施。方法将48例重症急性胰腺炎患者分为未继发胰腺感染组(A)和继发胰腺感染组(B)。分别观察两组患者的APACHE-II评分、多器官功能障碍综合症(MODS)发生率及死亡率。结果B组患者MODS的发生率及死亡率为70.6%高于A组14.3%(P<0.05);B组患者的APACHE-II评分(25.29±6.12)与A组(12.83±2.48)比较有统计学差异(P<0.01)。结论重症急性胰腺炎胰腺感染对机体的危害非常大,应采取综合性的措施防治胰腺感染。
Objective To investigate the risk of pancreatic infection in severe acute pancreatitis and the measures to control the pancreas infection. Methods Forty-eight patients with severe acute pancreatitis were divided into non-secondary pancreatic infection group (A) and secondary pancreatic infection group (B). APACHE-II scores, morbidity and mortality of multiple organ dysfunction syndrome (MODS) were observed in two groups. Results The morbidity and mortality of MODS in group B were 70.6% and 14.3%, respectively (P <0.05). The APACHE-II score in group B (25.29 ± 6.12) was significantly higher than that in group A (12.83 ± 2.48) Learning difference (P <0.01). Conclusion Pancreas infection in severe acute pancreatitis is very harmful to the body, and comprehensive measures should be taken to prevent and cure pancreatic infection.