摘要
目的评价急性胰腺炎合并胸腔积液和／或腹腔积液临床意义及对预后的影响。方法回顾性分析312例因急性胰腺炎入院合并胸腔积液和／或腹腔积液患者临床资料。结果312例急性胰腺炎合并胸腔积液47例、腹腔积液18例。47例胸腔积液病例中，31例（66．0％）为重症胰腺炎（P〈0．01），27例（57．4％）合并胰腺假囊肿（P〈0．01）。18例腹腔积液病例中，14例（77．8％）为重症胰腺炎（P〈0．01）。死亡6例，其中合并胸腔积液死亡2例，合并腹腔积液死亡1例，合并胸、腹腔积液死亡3例；死因主要为休克。结论急性胰腺炎合并胸腔积液和／或腹腔积液与重症胰腺炎有密切关系。
Objective To evaluate the clinical significance of pleural effusion and/or aseites and their prognostic role in patients with acute pancreatitis. Methods The clinical data of 312 patients with acute pancreatitis were collected and analyzed retrospectively. Results Pleural effusion was found in 47 patients and ascites in 18. Of 47 cases with pleural effusion, there were 31 cases （ 65.9% ） of severe pancreatitis （ P 〈 0.01 ） and 27 cases 57.4% ） complicated by pseudocyst（ P 〈 0. 01 ）. Among 18 cases with ascites, there were 14 cases （ 77.7% ） of severe pancreatitis （ P 〈 0.01 ）. 6 cases with pleural effusion and/or ascites died of multiple organs failure. Conclusion Pleural effusion and/or ascites is closely associated with severe pancreatitis.
出处
《中国综合临床》
北大核心
2008年第4期367-368,共2页
Clinical Medicine of China
