急性胰腺炎早期肝损害38例临床分析

THE LIVER DYSFUNCTION DURING EARLY PHASE OF ACUTE PANCREATITIS:A CLINICAL ANALYSIS OF 38 CASES

对38例急性胰腺炎早期合并肝功能异常的病例分析认为，急性胰腺炎早期肝功能受损不但可以加重胰腺炎的病情，而且影响其预后，其临床意义可作为胰腺炎的病因判断，病情发展及预后分析，提供临床参考。防治措施：早期预防胰源性休克及胰胆管梗阻，后期预防肠源性感染及肠道并发症。

Through analysing 38 cases with acute pancreatitis (AP), complicated with the liver dysfunction during the earlyphase of AP,we conclude that the liver dysfunction could not only aggravate the development of AP but also affect the prognosis ofAP,in the sense of clinic, liver - function- test mightoffer references for the pathogenetic judgement,development calculation andprognosis assessment. In order to prevent the liver dysfunction, it is valuable to take precautions against the pancreatogeneticshock,cholangiopancreatic duct obstruction during the early phase and against intestinoriginal infection and intestinal complicationsduring the later phase of AP.