摘要
选择12项指标,结合Blamey多指标预测体系,研究影响急性胰腺炎类型与预后的诊断价值。结果表明,Blamey指标中乳酸脱氢酶(LDH)、动脉氧分压(PaO_2)等在本组223例急性胰腺炎水肿型与坏死型之间无显著差异;血糖、尿素氮似定值偏高。Blamey等多种预测体系未列入的腹膜刺激征、移动性浊音及腹穿红包液体等提示较高的诊断价值。腹膜刺激征对坏死型胰腺炎的敏感性为91.95％,特异性93.38％,预测准确性92.83％。腹部移动性浊音及腹穿红色液体在水肿型与坏死型之间、坏死型中死亡组与存活组之间均有显著差异。此两项指标对判断急性胰腺炎的类型及预后有重要价值。
Twelve parameters, as well as Alamey's multiple-parameter prognostic system were studied in 223 cases with acute pancreatitis. The results demonstrated that lac-tate dehydrogenase (LDH) and arterial oxygen pressure (PaO2)were not significantly different between mild (or edematic) and severe (or necrotic) outcome groups. The criteria of serum glucose and urea in Blarney's parameters seemed to be too high for patients in this group. Moreover, irritable peritoneum and shifting dullness with red paraceatetic fluid, both of which were not employed in Blamey's or other multiple-parameter prognostic system, showed significant diagnostic value, especially irritable peritoneum, the sensitivity of which was 91.95%> specificity, 93.38%, correct prediction, 92.83%.There was significant difference in shifting dullness with red paracentetic fluid between mild and severe groups, as well as between the survival and the dead in severe group. It is concluded that great emphasis should be placed on irritable peritoneum and shifting dullness with red paracentetic fliud in acute pancreatitis.
出处
《天津医药》
CAS
1994年第3期134-136,共3页
Tianjin Medical Journal
关键词
急性
胰腺炎
诊断
预后
acute pancreatitis diagnosis prognosis
