摘要
目的:急性胰腺炎常并发胰外器官损害,肝是其常累及的器官,肝损害会恶化病情。文中探讨急性胰腺炎(AP)并发肝损害的临床特征。方法:利用医院病案检索系统随机检索病例156例对AP合并肝损害的102例患者进行分析,共分为2组:重症AP(SPA)组,44例;轻症AP(MAP)组58例。比较2组患者肝损害程度及病情恢复情况。结果:半数以上的AP患者发生肝损害,与轻度AP相比,其肝损害更严重、肝功能恢复更慢、病程更长。结论:AP肝损害的发生率及损害程度与胰腺炎严重程度呈正相关。
Objective： Acute pancreatitis （AP） often impairs peripancreatic tissues and involves more distant organs, such as the liver, which would exacerbate the progression of the disease. This study aimed to explore the clinical characteristics of acute pancreatitis-associated liver injury. Methods： We randomly retrieved 156 cases of AP from the medical records retrieval system of Jinling Hospital, of which 102 were complicated by liver injury. The latter were divided into a severe AP （n = 44） and a mild AP group （n = 58 ） for comparative analysis of the severity of liver injury and time of recovery. Results： Liver injury occurred in 65.38% of the AP patients, and it was more serious, had a longer disease course and took more time to recover in the severe than in the mild AP group. Conclusion ： The incidence and severity of acute pancreatitis-associated liver injury are positively correlated with the severity of acute pancreatitis.
出处
《医学研究生学报》
CAS
2009年第11期1182-1184,共3页
Journal of Medical Postgraduates
关键词
急性胰腺炎
肝损害
回顾性分析
Acute pancreatitis
Liver injury
Retrospective analysis
