急性胰腺炎患者早期血气分析变化及临床意义

Detection of arterial blood gas and its clinical signification in the early stage of patients with acute pancreatitis

目的提高对急性胰腺炎并发酸碱平衡紊乱发生的认识。方法分析85例急性胰腺炎的血气分析资料，结合电解质和临床资料判断酸碱平衡紊乱发生情况。结果AP可在早期并发不同类型的酸碱平衡紊乱，MAP组和SAP组在PaO2、PaCO2、SaO2指标比较，差异有统计学意义（P〈0．05或P〈0．01）。结论急性胰腺炎患者经常出现酸碱平衡紊乱，并且使其病情更趋复杂化，应该及时给予纠正。

Objective To study the significance of acute pancreatitis AP complications by acid-base disturbance. Methods The arterial blood gas, serum electrolytes parameter and clinical data of 85 patients were analyzed. Results Acid-base disturbance of different types commonly existed in the early stage of AP patients.There are significant statistical differences in the indices of PaO2, PaCO2, SaO2 between group MAP and group SAP（ P 〈 0.05 or P 〈 0.01 ）. Conclusion Acid-base disturbance are very common in the AP patients and this-will make the condition worse,they should be treated promptly.