重症急性胰腺炎体液隔离与预后的关系

目的探讨重症急性胰腺炎体液隔离与预后的关系。方法对新疆医科大学第一附属医院2002年1月至2007年1月收治的89例SAP临床资料进行回顾性分析。按治疗结果分成死亡组和治愈组;统计两组患者入院后前三天体液隔离量以及体液隔离正平衡持续时间并分析其特点。结果死亡组和治愈组在48小时体液隔离量分别为7963.1±1348.6 ml和4401.9±1381.3 ml,两组相比差异有显著性（P〈0.05）;死亡组和治愈组体液隔离正平衡持续时间分别为7.8±2.8天和4.5±2.4天,两组相比差异有显著性（P〈0.05）。结论重症急性胰腺炎体液隔离程度愈重、持续时间愈长,预后愈差。

Relationship between the fluid sequestration and the prognosis in severe acute pancreatitis

Objective The clinical data of 89 cases with SAP between January 2002 and January 2007 were reviewed retrospectively. The patients was divided into death group and survival group. The mean fluid sequestion within initial 72 hours and the time of fluid sequestion lasted was measured. Results The mean fluid sequestration within 48 hous in the death group and survival group were 7963.1 ± 1348.6 ml and 4401.9 ± 1381.3 ml respectively, and these changes were statistically different （P 〈 0.05 ）. The time of fluid sequestion lasted in the two groups were 7.8±2.8 days and 4.5±2.4 days respectively, and these changes were statistically different（ P 〈0. 05 ）. Conclusion The more severe the fluid sequestration in SAP is, and the longer the time lasts, the more dangerous the prognosis is.