危重患者继发性胰腺损伤的临床研究

The Clinical Research of the Secondary Pancreatic Damage in Critical Illness

目的研究危重患者继发性胰腺损伤的判定及发病情况。方法制定继发性胰腺损伤的判定标准,统计ICU患者继发性胰腺损伤发病情况;研究血淀粉酶与预后的关系。结果危重患者继发性胰腺损伤发生率为20.5%。继发性胰腺损伤组APACHEⅡ评分、病死率明显高于无继发性胰腺损伤组。继发性胰腺损伤程度与预后相关。结论危重患者存在继发性胰腺损伤,并与危重患者的预后相关。

Objective To research how to judge the secondary pancreatic damage and survey it＇s morbidity situation. Methods To find out the criterion of the secondary pancreatic damage. To analyse morbidity situation in ICU, and to research relation of serum amylase and prognosis. Result The incidence of the secondary pancreatic damage in critical illness is 20.5%. APACHE 11 score and fatality rate in the group of the secondary pancreatic damage are significantly higher than the group of the non-secondary pancreatic damage. The level of serum amylase is relevant with patient＇s prognosis. Conclusions The secondary pancreatic damage exists in critical illness patients, and relevant with patients prognosis.