重症急性胰腺炎并发多器官功能障碍综合征的临床讨论

CLINICAL DISCUSSION OF SEVER ACUTE PANCREATITIS COMPLICATED WITH MODS.

目的:探讨重症急性胰腺炎(SAP)并发多器官功能障碍综合征(MODS)的发生率以及相关因素,在治疗重症急性胰腺炎时重点要加强的治疗措施。方法:44例SAP患者入科后即给予相关监测(ECG,R,SaO2,NIBP,血气,电解质,肾功能及血糖)。按其MODS标准诊断程序,结合其入科后不同的时间段(24、48和72 h)里发生器官功能障碍的发生率处以统计学处理。结果:不同的器官功能障碍大多在发病初期与入科后72 h,其发生率在统计学上差异无统计学意义。结论:SAP发生MODS的相关因素一旦对患者产生危害,其导致发生MODS的发生率极高。对SAP病人在治疗中应该高度警惕其MODS的发生,并给予积极的早期治疗。

Objective： To disseuss the occurrence rate and correlative factors of severe acute panereatitis （SAP） with multiple organ dysfunction syndrome （MODS） and the significant treatments. Methods： 44 patients were taken examination of ECG, R, SaO2, PaO2, NIBP, electrolyte, kidney function and blood sugar. According to the standard diagnostie process, the occurrence rates of MODS from different stages （24 h, 48 h and 72 h） were analyzed statistically.Results： The occurrence rates of MODS in the early stage and 72 hours after admission were not signifieant different.Conclusion： Once the correlative factors of SAP work, the occurrence rates of MODS will be much high. So the occurrence of MODS should be paid more attenion to, and treatment should be taken actively in the early stage of SAP patients.