本文選題：中毒 + 高淀粉酶血癥　； 參考：《中國現(xiàn)代醫(yī)學(xué)雜志》2017年16期

【摘要】：目的分析急性中毒患者血淀粉酶的變化及與預(yù)后的關(guān)系,并探討血淀粉酶升高的機制。方法回顧性分析2014年3月-2016年3月該院ICU收治的急性中毒患者的臨床資料,觀察其血清淀粉酶及同工酶變化。根據(jù)血清淀粉酶水平將患者分為淀粉酶正常組、輕度升高組和明顯升高組,比較3組患者的APACHEⅡ評分、PSS評分及死亡率。結(jié)果共納入急性中毒患者189例,132例患者合并血淀粉酶升高,其中胰淀粉酶升高76例。與淀粉酶正常組比較,淀粉酶輕度升高組、淀粉酶明顯升高組患者的APACHEⅡ評分、PSS評分及死亡率升高,差異有統(tǒng)計學(xué)意義(P0.05);淀粉酶明顯升高組患者的APACHEⅡ評分、PSS評分及死亡率高于淀粉酶輕度升高組,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論中毒患者常常合并血淀粉酶升高;血清淀粉酶可以作為判斷急性中毒患者病情危重程度和預(yù)后的指標(biāo)。中毒患者合并血淀粉酶升高的機制復(fù)雜,對胰腺炎的診斷需謹慎。
[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，

本文編號：2097040