急性胰腺炎合并胸腔积液与临床严重程度分析

目的分析急性胰腺炎（AP）患者胸腔积液的临床意义,探讨胸腔积液与病情严重程度的关系及其对预后的影响。方法回顾性分析215例AP患者的临床资料,探讨胸腔积液的发生率及其与发病年龄、性别、Ran-son＇s评分、CT分级（CTSI）以及住院天数之间的关系。结果 215例AP患者中,39例并发胸腔积液,发生率为22.15%;39例胸腔积液中25例（64.10%）发生重症急性胰腺炎（SAP）,176例未出现胸腔积液患者中,9例（5.11%）转为SAP;181例轻症急性胰腺炎（MAP）患者仅5例（2.76%）发生胸腔积液,SAP患者的胸腔积液发生率显著高于MAP患者（P〈0.05）;胸腔积液与SAP假性囊肿出现的差异有显著性（P〈0.05）;发生胸腔积液患者的Ranson＇s评分、血淀粉酶水平、CTSI均显著高于无胸腔积液者（P〈0.05）。双侧胸腔积液19例,右侧胸腔积液8例,左侧胸腔积液12例,胸腔积液部位与病情严重程度无关,但左侧胸腔积液者住院天数较长（P〈0.05）。结论 AP与胸腔积液关系密切,胸腔积液可以作为评估SAP的一个较好指标。

Assessment of severity of acute pancreatitis according pleural effusion

Objective To investigate the incidence of pleural effusion in acute panereatitis(AP) and the relation between pleural effusion and severity of AP.Methods The clinical data of 215 patients with acute pancreatitis were collected and analyzed retrospectively.Results In the 215 AP patients,there were 39(22.15%) patients had pleural effusion,that 25(64.10%) patients to be with SAP.In the 181 MAP patients,there were only 5(2.76%) patients had pleural effusion.The difference in the incidence of plenral effusion be...