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目的探讨急性胰腺炎(AP)的肝功能损害及不同诱因的肝功能损害程度及发生率。方法分析82例AP患者丙氨酸氨基转移酶(ALT)、门冬氨酸氨基转移酶(AST)、总胆红素(TB iL)、直接胆红素(DB iL)及白蛋白(ALB)的检查结果。结果37例有肝功能损害(45.12%)。轻型AP 69例,发生肝功能损害24例(66.70%);重型AP 13例,发生肝功能损害13例(100%)。胆源性AP 33例,发生肝功能损害20例(60.61%),明显高于非胆源性AP的34.69%。结论AP的肝功能损害较常见,重型AP的肝功能损害发生率100%,损害程度明显高于轻型AP;胆源性AP的肝功能损害程度及肝功能损害发生率明显高于非胆源性AP。
Objective To investigate the damage of hepatic function of acute pancreatitis (AP) and the extent and incidence of hepatic dysfunction induced by different inducing factors. Methods The levels of ALT, AST, TB iL, DB iL and ALB in 82 AP patients were analyzed. The test results. Results 37 cases had liver dysfunction (45.12%). Sixty-six cases (66.70%) suffered from hepatic dysfunction, 13 cases with severe AP, and 13 cases (100%) suffered from hepatic dysfunction. 33 cases of biliary AP, liver damage occurred in 20 cases (60.61%), significantly higher than non-biliary AP 34.69%. Conclusions The hepatic impairment of AP is more common, and the incidence of hepatic dysfunction in severe AP is 100%, which is significantly higher than that of light AP. The severity of hepatic dysfunction and hepatic dysfunction in biliary AP is significantly higher than that in non-biliary AP.