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目的:探讨急性胰腺炎肝损害情况。方法:急性胰腺炎患者66例,对临床资料进行分析,了解肝损害的发生率、损害程度和对病程的影响。结果:伴有不同程度的肝损害35例,占53.0%,其中轻型胰腺炎(MAP)的肝损害发生率、损害程度与重型胰腺炎(SAP)相比均有显著性差异(P<0.05);有肝损害的胰腺炎患者,其腹痛缓解时间及住院天数均较无肝损害的胰腺炎患者明显延长。结论:急性胰腺炎肝损害发生率及损害程度与胰腺炎严重程度呈正相关,合并肝损害明显延长胰腺炎的病程。
Objective: To investigate the liver damage in acute pancreatitis. Methods: 66 cases of acute pancreatitis patients, the clinical data were analyzed to understand the incidence of liver damage, the extent of damage and the impact on the course. Results: There were 35 cases (53.0%) with varying degrees of liver damage. The incidence of liver damage and the degree of damage in MAP were significantly different from those in severe pancreatitis (SAP) (P <0.05) ; Patients with liver damage pancreatitis, the pain relief time and hospitalization days were significantly longer than those without liver damage in patients with pancreatitis. Conclusion: The incidence of liver damage and the degree of damage in acute pancreatitis are positively correlated with the severity of pancreatitis. Combined with liver damage, the duration of pancreatitis is significantly prolonged.