| 重症急性胰腺炎病程后期并发急性胆囊炎危险因素分析 |
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| 引用本文： | 李建伟,郑淑欣,晁红梅. 重症急性胰腺炎病程后期并发急性胆囊炎危险因素分析[J]. 中国现代普通外科进展, 2011, 14(11): 872-874,879. DOI: 10.3969/j.issn.1009-9905.2011.11.012 |
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| 作者姓名： | 李建伟 郑淑欣 晁红梅 |
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| 作者单位： | 山东省临沭县人民医院普外科,山东临沭,276700 |
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| 摘 要： | 目的：探讨重症急性胰腺炎（SAP）病程后期并发急性胆囊炎（AC）的危险因素。方法：采用病例对照研究的方法,回顾性收集确诊的20例SAP并发AC（SAP-AC）患者为病例组和86例SAP患者为对照组的各项资料,采用单因素和多因素非条件Logistic回归法筛选危险因素。结果：单因素Logistic回归分析显示Balthazar’CT评分、APACHEⅡ评分、全身并发症、局部并发症、生长抑素时间、EN持续时间、输血、手术等12个变量影响并发AC的发生;多因素Logistic回归分析显示APACHEⅡ评分（OR=1.333）、肠道营养（EN）持续时间（OR=1.020）、胰头部坏死组织感染（OR=3.301）为并发AC的重要影响因素。结论：APACHEII评分越高、EN持续时间越长、胰头部坏死组织感染,其并发AC的风险性就越大,均为危险因素。
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| 关 键 词： | 重症急性胰腺炎 急性胆囊炎 并发症 危险因素 |
Risk Factors analysis of severe acute pancreatitis complicating with acute cholecystitis in later stage course of disease |
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| LI Jian-wei,ZHENG Shu-xin,CHAO Hong-mei. Risk Factors analysis of severe acute pancreatitis complicating with acute cholecystitis in later stage course of disease[J]. Chinese Journal of Current Advances in General Surgery, 2011, 14(11): 872-874,879. DOI: 10.3969/j.issn.1009-9905.2011.11.012 |
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| Authors: | LI Jian-wei ZHENG Shu-xin CHAO Hong-mei |
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| Affiliation: | LI Jian-wei,ZHENG Shu-xin,CHAO Hong-mei Department of General Surgery,Linshu People's Hospital in Shandong Province(Linshu 276700,China) |
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| Abstract: | Objective: To explore the risk factors of later severe acute pancreatitis(SAP) complicated with acute cholecystitis(AC).Methods: With case-control study method,we retrospectivly collected different data of 20 cases of SAP complicated with AC patients and 86 cases of SAP patients,and then used one factor non-conditional Logistic Regression method and multiple factors Logistic Regression method to screen the risk factors of SAP-AC.Results: One factors Logistic Regression result showed that some factors which ... |
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| Keywords: | Severe acute pancreatitis（SAP）·Acute cholecystitis ·Complication·Risk factor |
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