摘要
目的 分析肾病综合征患者并发急性胰腺炎的临床特点.方法 对本院2009年1月～2012年1月收治的231例肾病综合征患者的临床资料进行回顾性分析.结果 患者的临床表现为血尿、高血压、高血脂、低蛋白血症及大量白蛋白尿,合并胰腺炎的患者除了上述表现外还有左上腹部持续性疼痛并呈阵发性加剧症状,可因进食油腻食物使疼痛加剧.19例并发急性胰腺炎患者经过治疗后,全部痊愈,血淀粉酶降至正常范围,无一例死亡.单纯肾病综合征患者与合并急性胰腺炎患者在24h尿蛋白、血浆白蛋白、胆固醇、三酰甘油等含量方面差异无统计学意义（P＞0.05）,血钙及空腹血淀粉酶含量差异有统计学意义（P＜0.05）.结论 肾病综合征患者并发急性胰腺炎时临床特点明显,医务人员应加强肾病综合征患者的护理工作,做到早发现、早治疗,有效预防肾病综合征并发急性胰腺炎的发生.
Objective To analyze the clinical characteristics of nephrotic syndrome complicated with acute pancreatitis. Methods The clinical datas of 231 cases of patients with nephrotic syndrome treated in our hospital from January 2009 to January 2012 were retrospectively analyzed. Results Clinical manifestations of patients were hematuria,hypertension,hyperlipidemia, hypoalbuminemia and macroalbuminuria;another associated with pancreatitis patients in addition to the performance and persistent left upper quadrant abdominal pain,paroxysmal increase may be due to eat greasy food induced pain intensified.19 cases of acute pancreatitis in patients with nephrotic syndrome were all healed after treatment,serum amylase droped to the normal range,with no deaths.The differences of 24 h urinary protein, albumin, cholesterol and triglycerides between the patients with nephrotic syndrome and the patients with nephrotic syndrome complicated with acute pancreatitis were no statistically significant （P〉0.05）;the differences of calcium concentration and fasting blood amylase were all statistically significant （P〈0.05）. Conclusion The clinical characteristics of patients with acute pancreatitis clinical features is obvious,so medical personnel should strengthen the missionary work of sursing for patients with nephrotie syndrome,in order to give the early detection and early treatment to the patients, so as to effectively prevent the happening of the nephrotic syndrome complicated with acute pancreatitis.
出处
《中国当代医药》
2013年第35期196-196,F0003,共2页
China Modern Medicine
关键词
肾病综合征
急性胰腺炎
并发症
Nephrotic syndrome
Acute pancreatitis
complication
