急性胰腺炎合并肾损害78例临床分析

目的：探讨急性胰腺炎合并肾损害的临床特点。方法：197例急性胰腺炎病例中，合并肾损害78例，对其临床资料进行分析。结果：急性胰腺炎合并肾损害的发生率为39.6％，主要表现为蛋白尿68例（88.5％），镜下血尿23例（29.5％），颗粒管型3例（3.84％），镜下白细胞尿23例（29.5％）、血尿素氮升高15例（19.2％）。结论：急性胰腺炎合并肾损害发生率较高，重症可合并急性肾功能衰竭，死亡率较高。

Clinical analysis of 78 case of impaired function complicating acute pancretitis

Objective:To study clinical features of renal dysfunction complicating acute pancretitis.Methods:197 patients with acute pancretitis plus renal dysfunction were retrospectively analysed.Results:39.6% patients with acute pancreatitis had impaired renal function.Albuminuria,hematuria,cylinderuria and leukocyte urine and microscope were seen with frequencies 88.5%,29.5%,3.85% and 29.5% respectively.The incidence of azotemia in acute pancretitis was 19.2%.Conclusion:The impairment of renal function complicating...