浅析重症急性胰腺炎早期并发症多脏器功能障碍综合征的危险因素

Brief analysis of risk factors for multiple organ dysfunction syndrome as early complications of severe acute pancreatitis

目的探讨重症急性胰腺炎(SAP)患者早期并发多脏器功能障碍综合征(MODS)的危险因素。方法 82例重症急性胰腺炎患者为研究对象,根据并发症情况,分为MODS组41例、无MODS组41例,对两组患者相关指标进行分析。结果 MODS组在CT评分、Ranson评分、APACHE评分上,显著高于无MODS组,差异有统计学意义(P<0.05);两组患者并发症发生情况比较差异有统计学意义(P<0.05)。无MODS组34例患者行综合性救治技术。结论 SAP患者并发MODS危险因素和低氧血症、休克、肺部感染、腹腔积液、腹腔室隔综合征的治疗方式相关,及时采取有效救治措施,可降低MODS发生率。

Objective To investigate the risk factors for multiple organ dysfunction syndrome （MODS） as the early complications of severe acute pancreatitis （SAP）. Methods Treated total of 82 cases of SAP were selected as study subjects. According to the complications condition, they were divided into MODS group with 41 cases and no-MODS group with 41 cases. The related indicators of the two groups were analyzed. Results The CT score, Ranson score, and APACHE score of MODS group were significantly higher than those of no-MODS group, and the difference was statistically significant （P〈0.05）. The difference of complications situation between the two groups had statistical significance （P〈0.05）. There were 34 cases in no-MODS group received comprehensive treatment technology. Conclusion The risk factors for SAP patients with concurrentMODS have relation with the treatment Methods of hypoxemia, shock, pulmonary infection, abdominal ascites, and abdominal compartment syndrome. The timely application of effective treatment method can reduce the incidence of MODS.