摘要
目的探讨浆膜腔积液在急性重症胰腺炎诊断及预后估计中的作用。方法分析经临床诊断的25例急性重症胰腺炎并发的浆膜腔积液的发生率、发生时间、积液性质及其与预后的关系。结果急性重症胰腺炎时腹水、胸水、心包积液的发生率分别是92%、28%、8%,积液淀粉酶水平均高于同步血清淀粉酶水平;合并腹水、胸水、胸腹水、胸腹水和心包积液的病死率分别是16.6%、50%、75%和100%。结论急性胰腺炎时出现浆膜腔积液强烈提示重症胰腺炎,多浆膜腔出现积液时预后凶险。
Aim To evaluate the diagnostic and prognostic value of effusion of serous cavities complicating severe acute pancreatitis. Methods The frequency,time of occurrence,the nature of the fluid and the relationship with prognosis in 25 clinical diagnostic cases were analyzed. Results Ascites serothorax hydrocardia and pericardial effusion were frequent in severe acute pancreatitis in 92% ,28% ,and 8% respectively. The amylase levels were higher than those in serum. The mortality rates in those complicated by ascitic, pleural effusion, coexistent ascites and pleural effusion, combinedascities pleural and pericardial effusion were 16.6% ,50% ,75%, 100% respectively. Conclusion Acute pancreatitis with coexistent effusion of various serous carities indicate grave prognosis.
出处
《安徽医药》
CAS
2005年第8期614-615,共2页
Anhui Medical and Pharmaceutical Journal
