重症急性胰腺炎的心血管表现

目的分析重症急性胰腺炎患者的心血管表现.方法观察51例重症急性胰腺炎患者的胸片、心电图、心脏B超、心肌酶学和肌钙蛋白T以及休克、心衰等临床征象.结果病死率29%,休克发生率35%,心衰49%,心电图异常92%,胸腔积液20%,肺淤血40%,心包积液10%,心肌酶增高30%,肌钙蛋白T阳性6%.结论急性重症胰腺炎患者,绝大部分伴有心血管系统异常的体征及辅助检查阳性.所以在老年人应注意与急性心肌梗死鉴别.

Cardiovasculai appearance in patient with severe acute pancreatitis

Objective: To investigate the cardiovascular findings in patients with severe acute pancreatitis(SAP).Methods: To observe 51 patient with the following data: chest x-ray, electrocardiography (ECG), echocardiography; CK, CK-MB and TnT. Their severe clinical presentations such as shock and cardiac failure were also observed.Results:mortality was 29%, shock was 35% and cardiac failure was 49%. Abnormal ECG presentations were found in 92% of patients. 20% of patients with pleural effusions. And 10% with pericardial effusions. Myocardial enzyme and TnT were elevated in 30% and 6% patients separately.Conclusion: Most patients of SAP have abnormal cardiovascular findings. Therefore, we should distinguish SAP from acute myocardial infarction in the elderly person.