| 急性胰腺炎与全身炎症反应综合征的关系 |
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| 引用本文： | 杨正安,纪宗正,裴红红,陆宏伟.急性胰腺炎与全身炎症反应综合征的关系[J].陕西医学杂志,2008,37(10). |
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| 作者姓名： | 杨正安 纪宗正 裴红红 陆宏伟 |
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| 作者单位： | 西安交通大学医学院第二附属医院,西安,710004 |
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| 摘 要： | 目的:探讨急性胰腺炎与全身炎症反应综合征之间的关系。方法:分析急性胰腺炎患者200例的临床资料。其中轻型急性胰腺炎148例;重症急性胰腺炎52例,其中重症急性胰腺炎级30例,重症急性胰腺炎级22例。结果:轻型急性胰腺炎患者出现全身炎症反应综合征者15例(15/148),无1例死亡;重症急性胰腺炎级出现全身炎症反应综合征者16例(16/30),无1例死亡;重症急性胰腺炎级出现全身炎症反应综合征者19例(19/22),8例死亡;死亡的8例急性胰腺炎患者均同时有全身炎症反应综合征和器官功能障碍的表现。结论:引起急性胰腺炎患者死亡的最主要因素是器官功能障碍,全身炎症反应综合征是急性胰腺炎发展到器官功能障碍阶段的关键环节。
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| 关 键 词： | 胰腺炎 脓毒症综合征 多器官功能衰竭 急性病 |
The relationship between acute pancreatitis and systemic inflammatory response syndrome |
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| Abstract: | Objective:To investigate the relationship between acute pancreatitis and systemic inflammatory response syndrome (SIRS). Methods:Two hundred acute pancreatitis patients were studied, including 148 cases mild acute pancreatitis (MAP) and 30 cases severe acute pancreatitis (SAP)Ⅰand 22 cases SAPⅡ. Results:There were 15 cases with SIRS in MAP, 16 cases with SIRS in SAPⅠ, 19 cases with SIRS in SAPⅡ (8 cases died). 8 cases who died in acute pancreatitis had both SIRS and organ dysfunction. Conclusion:Organ dysfunction is the major mortality-related complication in acute pancreatitis. SIRS is the key role of organ dysfunction in acute pancreatitis. |
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| Keywords: | Panceatitis Sepsis syndrome Multiple organ failure Acute disease |
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