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目的探讨急性胰腺炎(AP)患者并发肝脏损害的病因及发病机制。方法对我院2004年1月至2007年9月收治的91例急性胰腺炎病例资料进行回顾性分析。结果急性胰腺炎患者中有62例肝损害,占68.1%,其中轻症胰腺炎(MAP)60%(44例),重症胰腺炎(SAP)100%(18例);MAP肝功能损害较SAP轻,差异有统计学意义(P<0.05)。结论AP患者大多伴有肝损害,其损害程度与胰腺炎病情严重程度相关。
Objective To investigate the etiology and pathogenesis of liver injury in patients with acute pancreatitis (AP). Methods The data of 91 cases of acute pancreatitis admitted to our hospital from January 2004 to September 2007 were analyzed retrospectively. Results There were 62 cases of liver injury in acute pancreatitis, accounting for 68.1%, of which mild pancreatitis (MAP) 60% (44 cases) and severe pancreatitis (SAP) 100% (18 cases); MAP liver damage than SAP Light, the difference was statistically significant (P <0.05). Conclusion AP patients are mostly accompanied by liver damage, the degree of damage is related to the severity of pancreatitis.