论文部分内容阅读
目的:探讨重症急性胰腺炎(SAP)死亡病例的特点。方法:回顾2005/2007年华西医院52例死亡SAP患者资料。结果:病死率为14.86%。早、中、晚期死亡构成比为61.54∶36.54∶1.9。死于MODS占67.31%,胰腺或胰外感染28.85%,50例患者发生呼衰,34例心衰,42例肾衰,24例肝衰竭,48例胃肠功能衰竭。结论:MODS是SAP早期主要死亡原因,感染主要发生在中后期。SAP最易引起肺,胃肠,肾及心脏损伤。
Objective: To investigate the characteristics of death from severe acute pancreatitis (SAP). Methods: The data of 52 death SAP patients in West China Hospital from 2005 to 2007 were retrospectively reviewed. Results: The case fatality rate was 14.86%. Early, middle and late death constitutes a ratio of 61.54: 36.54: 1.9. Died of MODS accounted for 67.31%, pancreatic or pancreatic infection of 28.85%, 50 patients with respiratory failure, 34 cases of heart failure, 42 cases of renal failure, 24 cases of liver failure, 48 cases of gastrointestinal failure. Conclusion: MODS is the main cause of death in early SAP, the infection mainly occurs in the late period. SAP most likely to cause lung, gastrointestinal, kidney and heart damage.