急性胰腺炎伴肝损害78 例临床分析.pdf

·58 · 中国现代医药杂志 2011 年 2 月第 13 卷第 2 期 MMJC, Feb 2011, Vol 13,
急性胰腺炎伴肝损害 78 例临床分析
李琨琨赵雅彬
探讨急性胰腺炎患者合并肝损害的发病机制临床特点对例患者的临床资料进
【摘要】目的(AP) 、。方法 128 AP
行回顾性分析例中有例合并肝损害发生率为其中重型急性胰腺炎较轻症急性胰腺炎
。结果 128 AP 78 , %。(SAP)
肝损害发生率更高损害程度更明显差异均具有统计学意义大多伴有肝损害其损害程度可反
(MAP) , , (P<)。结论 AP ,
映急性胰腺炎严重程度并与其病程有关
, 。
急性胰腺炎肝损害
【关键词】
Clinical analysis of 78 patients with acute pancreatitis panied with liver injury Li Kunkun, Zhao Yabin. Zhengzhou
Central Hospital, Zhengzhou 450007
【Abstract】 Objective To explore the clinical manifestation and pathogenesis of acute pancreatitis with liver injury.
Methods Retrospectively analyzed the clinical data of 128 patients with acute pancreatitis admitted to our hospital. Results
78(%) out of 128 patients had liver injury. The incidence and damage level of liver injury were much higher in the patients
with severe acute pancreatitis than those with mild acute pancreatitis(P<). Conclusion Most patients with acute pancreatitis
have liver injury. The degree of liver injury correlates to severity of acute pancreatitis.
【Key words】 Acute pancreatitis Liver injury
急性胰腺炎病情较重可征和或征休克并发多个
(acute pancreatitis,AP) , Grey Turner ( )Cullen ;⑤;⑥
并发心脑肾等多脏器损害有研究表明肝脏是最器官功能障碍例中例例
、、。, 。128 AP MAP 85 ,SAP 43 。
早且最易受到损害的器官之一引起的肝损害不入院后积极给予禁食胃肠减压大承气
。 AP 方法、、
但会加重病情而且还可影响其预后严重者可汤保留灌肠抗感染抑制胃酸抑制胰液分泌补
AP , , 、、、、
进展为肝功能衰竭本研究对我院近年来