急性重症胰腺炎时监测胃粘膜下pH值的临床意义

探讨在急性重症胰腺炎时通过动态监测胃粘膜下ＰＨ值，从而早期发现局部组织器官缺氧情况，及时采取措施预防器官功能衰竭的发生。方法对在临床观察期间收住院的４０例急性重症胰腺炎患者在入院后立刻经鼻插入ＴＲＩＰ－ＮＧＳ导管并测定Ｐｈｉ，以后每隔１２小时测量一次Ｐｈｉ。结果并发器官功能衰竭的急性重症胰腺炎患者在器官功能衰竭前１－３天Ｐｈ８即有显著降低，而同期测得的全身氧供指标并未发生明显。结论Ｐｈｉ具有操作简

Changes of gastric intramucosal pH(Phi) and its clinical significance in acute severe pancreatitis patients

Objective To determining the dynamic changes of gastric intramucosal Phi in acute severe pancreatitis patients to detect early gastrointestinal ischemia which may predict development of multiple organ failure(MOF).Method 40 pancreatitis patients were enrolled in this study, every patient received TRIP-NGS tube through nasal cavity to monitor Phi after acute severe pancreatitis were diagnosed. Phis were got immediately after insertion and in every 12 hours.Results Acute severe pancreatitis patients who developed MOF during hospitalization had significant low level of Phi in the first 3 days while oxygen delivery kept normal.Conclusion Manipulation of Phi monitor can easily be achieved and the results are reliable.It can detect early ischemia of internal organs, and measures should be taken as soon as possible to prevent organ failures.