重症急性胰腺炎胰腺感染20例临床分析

Clinical Analysis of Pancreatic Infection in Severe Acute Pancreatitis: Report of 20 Cases

目的:探讨重症急性胰腺炎胰腺感染对机体的危害及控制胰腺感染的措施。方法:将20例重症急性胰腺炎患者分成二组。A组:未继发胰腺感染组,B组:继发胰腺感染组。分别观察两组患者的APACHE-Ⅱ评分、多器官功能障碍综合征(MODS)发生率及死亡率。结果:B组患者的MODS发生率及死亡率均高于A组(P<0.05);B组患者的APACHE-Ⅱ评分(25.29±6.12)与A组(12.83±2.48)比较有统计学差异(P<0.01)。结论:重症急性胰腺炎胰腺感染对机体的危害非常大,应采取综合性的措施防治胰腺感染。

Objective: To explore the harmfulness and the therapeutic strategies of severe acute pancreatitis associated with pancreatic infection. Methods: A total of 20 severe acute pancreatitis patients were divided into two groups. Group A did not associate with pancreatic infection, but group B associated with pancreatic infection. The acute physiology and chronic health evaluation H, morbidity of MODS and mortality were observed. Results: The morbidity of MODS and mortality of group B are higher than those of group A (P < 0. 05), the significant changes lie in the acute physiology and chronic health evaluation II between group B (25. 29 ±6. 12) and group A (12. 83 ± 2. 48, P < 0. 01) . Conclusions: The harmfulness of pancreatic infection in severe acute pancreatitis is very large. We should take comprehensive strategies to prevent and treat the pancreatic infection.