重症胰腺炎死亡早期危险因素分析

目的：探讨入院24h内影响重症急性胰腺炎转归的危险因素。方法：回顾性分析2000年-2006年间本院收治的重症急性胰腺炎（SAP）49例，按预后分为生存组31例和死亡组18例，分析2组入院24h内临床和实验室检查资料的差异，并进行统计学处理：结果：两组间平均年龄、血糖、动脉血氧分压、并发症及MOF发生率的差异有统计学意义（P〈0．05）。结论：高平均年龄、高血糖、低动脉血氧分压、多并发症及多器官衰竭（MOF）是SAP死亡的早期危险因素。

Early Risk Factors Associated with Death from Severe Acute Pancreatitis

Objective： To investigate the early risk factors associated with death from severe acute pancreatitis （SAP） within 24 hours after admission. Methods： Forty-nine patients with severe acute pancreatitis admitted between 2000 and 2006 were retrospectively divided into two groups, namely the death group （n=31） and the survival group （n= 18） based on their outcomes. Clinical and laboratory data within 24 hours after admission were analyzed. Results： Significant differences between two groups were found in mean age, blood sugar, arterial pressure of O2, complications and multiple organ failure （MOF） （P〈0.05）. Conclusion： The older mean age, higher blood sugar, lower arterial pressure of O2, more complications and multiple organ failure （MOF） are the early risk factors of death from SAP.