本文選題：急性胰腺炎　切入點：胸腔積液　出處：《重慶醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：研究胸腔積液對急性胰腺炎病情嚴重性及預(yù)后的影響。 方法：研究臨床197例急性胰腺炎患者，回顧性統(tǒng)計分析其臨床資料，探討胸腔積液發(fā)生率及其與患者性別、年齡、48小時Ranson評分、住院時間、局部并發(fā)癥（假性囊腫、壞死性胰腺炎、胰腺膿腫）以及全身并發(fā)癥（休克、肺功能不全、急性腎功能衰竭）之間的關(guān)系。 結(jié)果：197例AP患者，MAP158例（80.20%），SAP39例（19.80%）。胸腔積液患者總共27例（13.71%），158例MAP中存在胸腔積液患者10例（6.33%），，39例SAP中存在胸腔積液患者17例（43.59%），SAP組胸腔積液發(fā)生率與MAP組有明顯差異（P=0.000）；胸腔積液與年齡、Ranson評分、全身并發(fā)癥等指標(biāo)有明顯的相關(guān)性（P0.05），而與性別、局部并發(fā)癥未見明顯差異。 結(jié)論：胸腔積液對于急性胰腺炎病情嚴重性有密切關(guān)系；AP患者入院應(yīng)行常規(guī)胸部影像學(xué)檢查；胸腔積液的AP患者需積極預(yù)防其他嚴重并發(fā)癥的發(fā)生。
[Abstract]:Objective: to study the effect of pleural effusion on the severity and prognosis of acute pancreatitis. Methods: the clinical data of 197 patients with acute pancreatitis were analyzed retrospectively. The incidence of pleural effusion and its association with sex, age and 48 hours Ranson score, hospital stay, local complications (pseudocyst) were studied. Relationship between necrotizing pancreatitis, pancreatic abscess, and systemic complications (shock, pulmonary dysfunction, acute renal failure). Results the incidence of pleural effusion was significantly different between MAP group and MAP group. There were 27 patients with pleural effusion and 10 patients with pleural effusion in 10 patients with pleural effusion in 10 patients with pleural effusion in 39 patients with SAP and 17 patients with pleural effusion in SAP group with 43.59SAP group and MAP group in which the incidence of pleural effusion was significantly different from that in MAP group. Luminal effusion and age Ranson score, There was a significant correlation between systemic complications and other indexes (P 0.05), but there was no significant difference with sex and local complications. Conclusion: pleural effusion is closely related to the severity of acute pancreatitis.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R657.51

【參考文獻】

相關(guān)期刊論文 前6條

1 李崢艷;張凌;金濤;黃子星;宋彬;吳傼;張薇薇;鐘歡歡;劉曦嬌;劉丹;;CT評分與重癥急性胰腺炎合并急性腎損傷的相關(guān)性分析[J];四川大學(xué)學(xué)報(醫(yī)學(xué)版);2011年05期

2 羅建華;;Ranson評分系統(tǒng)在重癥急性胰腺炎中的應(yīng)用價值[J];華西醫(yī)學(xué);2008年05期

3 董樂妹;洪萬東;吳建勝;王宏清;;APACHE-Ⅱ標(biāo)準(zhǔn)Balthazar分級及胰外炎癥評分系統(tǒng)對急性胰腺炎預(yù)后的評估價值比較[J];中國實用內(nèi)科雜志;2009年08期

4 王興鵬;李兆申;袁耀宗;杜奕奇;曾悅;;中國急性胰腺炎診治指南(2013,上海)[J];中國實用內(nèi)科雜志;2013年07期

5 方裕強;吳麗穎;程禮;蔣海飆;王興鵬;許國銘;;急性胰腺炎診治指南(2002,曼谷)[J];中國消化內(nèi)鏡;2007年12期

6 全卓勇,彭開勤,邵永勝,劉文,張應(yīng)天;動態(tài)APACHEⅡ評分指導(dǎo)重癥胰腺炎外科治療[J];中國實用外科雜志;2000年11期

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