急性中毒合并高淀粉酶血症的临床分析

发布时间：2018-07-04 18:55

  本文选题：中毒 + 高淀粉酶血症　； 参考：《中国现代医学杂志》2017年16期

【摘要】：目的分析急性中毒患者血淀粉酶的变化及与预后的关系,并探讨血淀粉酶升高的机制。方法回顾性分析2014年3月-2016年3月该院ICU收治的急性中毒患者的临床资料,观察其血清淀粉酶及同工酶变化。根据血清淀粉酶水平将患者分为淀粉酶正常组、轻度升高组和明显升高组,比较3组患者的APACHEⅡ评分、PSS评分及死亡率。结果共纳入急性中毒患者189例,132例患者合并血淀粉酶升高,其中胰淀粉酶升高76例。与淀粉酶正常组比较,淀粉酶轻度升高组、淀粉酶明显升高组患者的APACHEⅡ评分、PSS评分及死亡率升高,差异有统计学意义(P0.05);淀粉酶明显升高组患者的APACHEⅡ评分、PSS评分及死亡率高于淀粉酶轻度升高组,差异有统计学意义(P0.05)。结论中毒患者常常合并血淀粉酶升高;血清淀粉酶可以作为判断急性中毒患者病情危重程度和预后的指标。中毒患者合并血淀粉酶升高的机制复杂,对胰腺炎的诊断需谨慎。
[Abstract]:Objective to analyze the changes of serum amylase and its relationship with prognosis in patients with acute poisoning and to explore the mechanism of elevated serum amylase. Methods the clinical data of patients with acute poisoning in ICU from March 2014 to March 2016 were retrospectively analyzed and the changes of serum amylase and isozyme were observed. According to the level of serum amylase, the patients were divided into normal amylase group, mild elevated group and significantly elevated group. The Apache 鈪，

本文编号：2097040