| 不同急性胰腺炎凝血功能紊乱的临床研究 |
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| 引用本文： | 杨正安,刘敏龙.不同急性胰腺炎凝血功能紊乱的临床研究[J].中国急救医学,2008,28(11):984-986. |
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| 作者姓名： | 杨正安 刘敏龙 |
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| 作者单位： | 西安交通大学医学院第二附属医院干部病房四病区,杨正安,西安交通大学医学院第二附属医院ICU,刘敏龙,西安,710004 |
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| 摘 要： | 目的 探讨急性胰腺炎时凝血功能的变化.方法 选择急性胰腺炎患者55例,其中仅有局部表现的患者20例(局部症状组),有全身炎症反应综合征(SIRS)而无器官功能障碍的患者20例(SIRS组),出现器官功能障碍的患者10例(器官功能障碍组),死亡患者5例(死亡组).择期胆囊切除术术前检查凝血功能正常的同期住院患者10例(对照组).检测上述患者的血小板计数、凝血酶原时间、活化部分凝血酶时间和纤维蛋白原.结果 局部症状组血小板计数、凝血酶原时间、活化部分凝血酶时间和纤维蛋白原与对照组比较差异均无统计学意义;SIRS组、器官功能障碍组和死亡组血小板计数显著低于对照组,凝血酶原时间、活化部分凝血酶时间显著长于对照组,纤维蛋白原显著高于对照组.结论 急性胰腺炎发展到SIRS、器官功能障碍和死亡阶段时,凝血功能表现为紊乱状态.
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| 关 键 词： | 急性胰腺炎 凝血功能 紊乱 |
Clinical study of blood coagulation function disorder at different stage of acute pancreatitis |
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| YANG Zhen-gan,LIU Min-long.Clinical study of blood coagulation function disorder at different stage of acute pancreatitis[J].Chinese Journal of Critical Care Medicine,2008,28(11):984-986. |
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| Authors: | YANG Zhen-gan LIU Min-long |
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| Institution: | YANG Zheng-an,LIU Min-long.The Second Affiliated Hospital of Medical College of Xi'an Jiaotong University,Xi'an 710004,China |
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| Abstract: | Objective To investigate the changes of blood coagulation function in acute pancreatitis.Methods 55 acute pancreatitis patients were studied,including 20 cases with local manifestation (local manifestation group),20 cases with systemic inflammatory response syndrome (SIRS) and without organ dysfunction (SIRS group),10 cases with organ dysfunction (organ dysfunction group),5 cases died (died group).10 cases of selective cholecystectomy patients were studied (control group).Platelet count,prothrombin time,act... |
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| Keywords: | Acute pancreatitis Coagulation function Disorder |
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