糖尿病急性并发症与急性胰腺炎的相关性探讨

Relativity Research of Acute Complications in Diabetes Mellitus and the Acute Pancreatitis

目的探讨糖尿病急性并发症(DKA、HHS、DLA)与急性胰腺炎(AP)相关性并总结经验。方法对52例临床资料进行回顾性探讨。结果依据患者有无糖尿病病史,结合临床表现及相关检查,40例考虑为DKA、HHS、DLA合并AP,12例AP合并DKA、HHS、DLA。结论(DKA、HHS、DLA)患者因体液丢失,血液呈高凝状态,影响胰腺微循环,血脂紊乱,炎症因子释放引起胰腺损伤等因素,以及AP患者因胰腺病变致胰岛素分泌不足等原因而相互并发。二者并发,死亡率高,应引起重视。

Objective Inquiry into relativity of the acute complications in diabetes （DKA,HHS,DLA）and the acute pancreatitis（AP）, and summary experience. Methods Proceed the review study to 52 clinical data. Results based on whether patients with a history of diabetes, combined with clinical manifestations and related inspection, 40 cases to consider （DKA,HHS,DLA） combined AP, 12 cases AP merger （DKA,HHS,DLA）. Conclusions （DKA,HHS,DLA） patients lost body fluids, blood hypercoagulability were affected pancreatic microcirculation, blood lipid disorders, the release of inflammatory factors and other factors caused by pancreatic injury, as well as the AP in patients with pancreatic disease due to lack of insulin secretion caused by reason of mutual complicated. two concurrent, high mortality, should pay attention.