摘要
目的分析急性重症胰腺炎(SAP)继发性腹腔感染的发生情况。方法对60例SAP病例进行回顾性分析,观察继发性腹腔感染与APACHEⅡ评分、Ranson预后指标、住院时间、死亡率的关系。按治疗方法将病例分为非手术治疗组、早期手术治疗组、非手术中转手术治疗组,比较腹腔感染发生率。结果继发性腹腔感染的发生率为35.0%。感染与非感染两组的APACHEⅡ评分、Ranson预后指标无统计学差异,腹腔感染组病例住院时间长(P<0.05),死亡率高但无统计学意义(P>0.05)。与非手术治疗组比较,早期手术治疗组病例腹腔感染发生率高(P<0.05)。继发性腹腔感染的病原菌以革兰阴性菌为主(占70.0%)。结论SAP病例采用早期手术治疗有较高的腹腔继发感染发生率。继发性腹腔感染的发生延长了SAP病例的住院时间。
Objective To analyze abdominal infection secondary to acute severe pancreatitis （SAP）. Methods Compared with non-abdominal infected cases, 60 cases who were diagnosed as SAP were retrospectively analyzed, compare abdominal infected cases with non-abdominal infected cases in APACHE Ⅱ, Ranson score, hospital stay and mortality. Compare the abdominal infectious morbidity according to different treatment. Results Abdominal infectious rate in SAP was 35.0%. APACHE Ⅱ and Ranson score between infected and non-infected cases were not statistically significantly different, hospital stay significantly prolonged in those infected （ P 〈 0. 05 ） ,mortality not significantly increased in those infected（ P 〉 0.05 ）. Abdominal infectious morbidity was higher in cases treated with early surgical treatment compare with those treated with non-surgical treatment. Gram-negative Bacilli accounted for 70. 0% in pathogens. Conclusions Abdominal infectious morbidity was higher in cases treated with early surgical treatment. Secondary abdominal infection prolonged hospital stay in SAP.
出处
《肝胆外科杂志》
2006年第3期166-168,共3页
Journal of Hepatobiliary Surgery
关键词
急性重症胰腺炎
感染
Acute severe pancreatitis
Infection
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