急性胰腺炎合并胸和/或腹腔积液的临床意义

Clinical analysis of acute pancreatitis with pleral effusion and/or ascites

目的探讨急性胰腺炎合并胸腔积液和/或腹腔积液的临床意义及其对预后的影响。方法回顾性分析160例急性胰腺炎合并胸腔积液和/或腹腔积液的临床资料。结果160例急性胰腺炎患者合并胸腔积液22例、腹腔积液10例。22例胸腔积液患者中14例(63.60%)为急性重症胰腺炎,12例(54.54%)合并胰腺假性囊肿。10例腹腔积液患者中8例(80.00%)为急性重症胰腺炎。160例急性胰腺炎患者中死亡3例,其中合并腹腔积液1例,合并胸、腹腔积液2例;死因主要为脏器功能衰竭。结论急性胰腺炎合并胸腔积液和/或腹腔积液与急性重症胰腺炎有密切关系。

Objective To evaluate the clinical significance of pleural effusion and/or ascites and their prognostic role in patients with acute pancreatitis. Methods The clinical data of 160 patients with acute panereatitis were collected and analyzed retrospectively. Results Pleural effusion was foung in 22 patients and ascites in 10. Of 22 cases with pleural effusion,there were 14 cases （63.60%） of acute severe panereatitis and 12 （54. 54% ） complicated by pseudocyst. Among 10 eases with ascites,there were 8 cases （80. 00% ） of acute severe panereatitis. 3 cases with pleural effusion and/or ascites died of multiple organs failure. Conclusion Pleural effusion and/or ascites is closely associated with acute severe pancreatitis.