急性胰腺炎患者血糖、血钙变化及临床意义

The Clinical Effects on the Variations of Serum Sugar and Serum Calcium of Patients with AP

目的探讨急性胰腺炎(Acute pancreatitis)患者血糖、血钙变化对病情变化及其预后的影响。方法我院2006-2007年194例临床诊断为AP的患者入院后,检测接诊当日、3日、5日的血糖、血钙的浓度。结果急性出血坏死性胰腺炎(Severe acute pancreatitis SAP)患者的血糖升高、血钙降低发生率明显高于水肿型胰腺炎(Mild acute pancreatitis MAP)。结论血糖升高、血钙下降是影响AP患者预后的重要危险因素。

Objective The objective was to probe the variation of serum sugar and serum calcium of the patients with AP and its effect on prognosis. Methods The concentrations of serum sugar and serum calcium of 194 patients with AP treated from 2006 to 2007 were detected respectively on the day of their admission to our hospital, on the third day and the fifth day of after admission. Results The incidence rates of the rising serum sugar and the falling of serum calcium of the patients with severe acute pancreatitis were higher than that of the patients with mild acute pancreatitis. Conclusion The rising of serum sugar and the failing of serum calcium were two risk factors on the prognosis of patients.