碱剩余对重症急性胰腺炎患者早期死亡的预测价值

Prognostic value of base excess for early death in patients with severe acute pancreatitis

目的:探讨碱剩余对重症急性胰腺炎患者早期死亡的预测价值。方法:采用回顾性分析方法,比较急性胰腺炎患者早期死亡组和早期存活组入院后碱剩余值的差异,及高、低碱剩余组早期死亡率的差异,并将碱剩余评估效能与其他3项评分系统进行比较。结果:早期死亡组碱剩余值动态变化低于早期存活组(P<0.05),低碱剩余组早期死亡率高于高碱剩余组(P<0.05),碱剩余与其他3项评分系统评估预后效能有一定差异。结论:碱剩余有助于重症急性胰腺炎预后评估和指导治疗。

Objective To explore the prognostic value of base excess （BE） for early death in patients with severe acute pancreatitis （SAP）. Methods Patients with SAP were divided into early death group and early survival group, in which BE was detected, and the early mortality in high BE group and low BE group were calculated. Then, the assessing capability of BE was compared with that in ranson, APACHE Ⅱ , and CTSI. Results BE in early death group was significantly lower than that in early survival group （P 〈 0.05 ）. The early mortality in low BE group was higher than that in high BE group （P 〈 0.05）. There were differences of assessing capability, between BE and the other three scoring system. Conclusion BE is beneficial to predicting the prognosis of SAP and guiding treatment.