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目的通过对肾综合症出血热(HFRS)患者各型空腹血糖(blood suger BS)及血清脂肪酶(lipase,LPS)的测定及分析,探讨二者变化与病情严重程度的关系。方法选择2005年5月~2006年5月在沈阳市第六人民医院住院的HFRS患者共66例,按诊断标准进行分型,测定各型空腹BS与LPS的升高峰值、并计算二者发生异常的比例,应用统计学方法进行分析。结果 HFRS出现空腹BS和血清LPS升高的百分率以轻型、中型、重型和危重型逐渐递增,空腹血糖和脂肪酶峰值在轻型、中型、重型和危重型逐渐上升。结论胰腺的损伤程度与疾病的严重程度是平行的。
Objective To investigate the relationship between the changes of two kinds of blood suger BS and the serum lipase (LPS) in patients with hemorrhagic fever with renal syndrome (HFRS). Methods Sixty-six HFRS patients admitted to the Sixth People’s Hospital of Shenyang City from May 2005 to May 2006 were divided into two groups according to diagnostic criteria to determine the peak value of BS and LPS in each type of fasting and calculate the occurrence of both Abnormal proportions, the application of statistical methods for analysis. Results The percentages of fasting serum BS and serum LPS in HFRS increased gradually with light, medium, heavy and critical types. The fasting blood glucose and the peak of lipase were gradually increased in light, medium, heavy and critical types. Conclusion The extent of pancreatic injury is proportional to the severity of the disease.