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| 重症急性胰腺炎预后不良的相关危险因素分析 | |
| 引用本文： | 张安元,郭永全. 重症急性胰腺炎预后不良的相关危险因素分析[J]. 中国现代普通外科进展, 2011, 14(9): 700-702. DOI: 10.3969/j.issn.1009-9905.2011.09.010 |
| 作者姓名： | 张安元 郭永全 |
| 作者单位： | 重庆市荣昌县人民医院,普外科,重庆,402460 |
| 摘 要： | 目的：探讨重症急性胰腺炎（SAP）预后不良的危险因素,为临床救治提供参考。方法：对118例SAP患者的临床资料进行回顾性分析,对SAP死亡的相关危险因素进行Logistic回归分析,筛选SAP死亡的相关危险因素。结果：单因素分析结果显示,肌酐（Cr）、血尿素氮（BUN）、空腹血糖（FBG）、血清白蛋白（ALB）与SAP早期死亡有关,而年龄、心率、呼吸、白细胞计数、平均动脉压（MAP）、总胆红素（TBIL）、直接胆红素（DBIL）、血淀粉酶（AMS）、尿淀粉酶（UAMY）等因素与SAP早期死亡无关（P〉0.05）。多因素Logistic回归法分析显示,FBG、Cr、ALB、BUN是SAP早期死亡的危险因素。结论：FBG、Cr、BUN水平升高,ALB水平下降是SAP预后不良的危险因素,需加以重点评估和合理控制。 |
| 关 键 词： | 重症急性胰腺炎 预后 危险因素 |
Study on risk factors of poor prognosis in severe acute pancreatitis |
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| ZHANG An-yuan,GUO Yong-qaun. Study on risk factors of poor prognosis in severe acute pancreatitis[J]. Chinese Journal of Current Advances in General Surgery, 2011, 14(9): 700-702. DOI: 10.3969/j.issn.1009-9905.2011.09.010 | |
| Authors: | ZHANG An-yuan GUO Yong-qaun |
| Affiliation: | ZHANG An-yuan,GUO Yong-qaun Department of General Surgery,Rongchang People's Hospital of Chongqing(Chongqing 572000,China) |
| Abstract: | Objective: To investigate the risk factors of the early death of patient with severe acute pancreatitis(SAP) and provide reference for treatment of SAP.Methods: 118 cases of patients with SAP were studied,analyzing and screening the risk factors of early death by Logistic regression analysis.Results: The single-factor analysis showed that the Cr,BUN,FBG and ALB level had certain degree of contact with the early death of SAP.Logistic regression analysis showed that the FBG,Cr,ALB and BUN level were risk fact... |
| Keywords: | Severe acute pancreatitis·Prognosis·Risk factors |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |