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急性胰腺炎并肝功能损害的临床探讨

Clinical Study of Acute Pancreatitis Accompanied with Liver Function Damage
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摘要 目的:探讨急性胰腺炎(acute pancreatitis,AP)并肝功能损害的临床特点。方法:对153例急性胰腺炎患者的临床资料进行分析,其中78例合并肝功能损害。对比分析两组患者的肝功能,以了解肝功能损害的程度和对病程的影响。结果:重症胰腺炎较轻症胰腺炎并肝功能损害的程度重(P<0.01);胆源性AP肝功能损害比非胆源性AP严重程度重(P<0.01);重症胰腺炎并肝功能损害的患者,其腹痛缓解时间、血淀粉酶复常时间及住院天数均较轻症胰腺炎并肝功能损害的患者明显延长(P<0.01)。结论:急性胰腺炎肝功能损害程度与胰腺炎程度呈正相关,胆源性AP合并肝功能损害明显,肝功能损害延长胰腺炎的病程。 Objective:To study the clinical characteristics of acute pancreatitis accompanied with liver function damage. Methods: 153 patients with acute pancreatitis were grouped, 78 cases were accompanied with liver function damage, The related factors such as the severity of liver function damage and course of disease were compared. Results: The severity of liver function damages in severe acute pancreatitis (SAP) patients was higher than that in mild acute panereatitis (MAP) patients(P〈0.01) (The severity of liver function damages in biliary acute panereatitis (BAP) was worse than those in non biliary acute pancreatitis (NAP)( P〈0.01). The worse the acute panereatitis, the more seriousness the liver function, damage. Conclusion : The liver function damage is correlated to severity of acute paereatitis. The severity of liver function damages in biliary acute pancreatitis is worse than those in non-biliary acute pancreatitis, the liver function damage can delay the course of diseases
出处 《医学理论与实践》 2008年第12期1391-1393,共3页 The Journal of Medical Theory and Practice
关键词 急性胰腺炎 肝功能损害 Acute pancreatitis, Liver function damage
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