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目的探讨急性胰腺炎出现肝功能损伤的临床意义。方法回顾性分析150例急性胰腺炎患者的临床资料,按照有无肝功能损伤分为肝损伤组(64例)和无肝损伤组(86例),观察并比较两组患者发病原因、并发症和预后结局。结果肝损伤组发病原因中胆源性胰腺炎的比例明显高于无肝损伤组,差异有统计学意义(P<0.05),而暴饮暴食、高脂血症和其他原因导致的胰腺炎差异无统计学意义(P>0.05)。肝损伤组胰性脑病的发生率明显高于无肝损伤组,差异具有统计学意义(P<0.05),而两组间肾功能受损、呼吸功能受损、胰腺假性囊肿和死亡例数比较差异无统计学意义(P>0.05)。结论胆源性胰腺炎更易出现肝功能损伤,一旦并发肝损伤将会增加胰性脑病的发生率。
Objective To investigate the clinical significance of liver injury in acute pancreatitis. Methods The clinical data of 150 patients with acute pancreatitis were retrospectively analyzed. The patients with liver injury were divided into liver injury group (64 cases) and non-liver injury group (86 case). The causes and complications of the two groups were observed and compared And prognosis. Results The incidence of biliary pancreatitis in the liver injury group was significantly higher than that in the non-liver injury group (P <0.05). However, there was no significant difference in the incidence of pancreatitis between overeating, hyperlipidemia and other causes No statistical significance (P> 0.05). The incidence of pancreatic encephalopathy in liver injury group was significantly higher than that in non-liver injury group, the difference was statistically significant (P <0.05), while the two groups were impaired renal function, impaired respiratory function, pancreatic pseudocyst and the number of deaths The difference was not statistically significant (P> 0.05). Conclusion Gallbladder pancreatitis is more prone to liver injury, once complicated by liver injury will increase the incidence of pancreatic encephalopathy.