早期液体复苏速度与急性重症胰腺炎预后  

Initial intravenous fluid resuscitation in severe acute pancreatitis

作　　者：陆玓 张莉[1] 

机构地区：[1]北京市石景山医院消化内科,100040

出　　处：《中国实用医药》2010年第28期33-34,共2页China Practical Medicine

摘　　要：目的评估就诊后最初24h静脉内液体复苏速度与急性重症胰腺炎预后及恢复程度的影响。方法收集我院2004年1月1日至2009年12月31日6年间收治的82例急性重症胰腺炎,对其治疗方案及其效果进行回顾性分析。患者分为两组,A组为就诊后24h内静脉内补液量占最初72h补液量的33%以上(早期液体复苏),B组为<33%(晚期液体复苏)。将患者的死亡率、器官功能衰竭、住院时间等指标进行对比分析。结果 A组(早期液体复苏)组43例,B组(晚期液体复苏组)39例,两组病例临床特征无显著性差异。两组72h总补液量无差别。结论急性重症胰腺炎患者发病后24h静脉内总补液量如小于72h内总补液量的1/3可能导致更高的并发症或死亡率。Objective To investigate the optimal volume of initial intravenous fluid in severe acute pancreatitis.Methods We chose 82 patients who had been diagnosis of severe acute pancreatitis and treated in our hospital from January 1,2004 to December 31,2009,all the patients were identified retrospectively.Results Patients were divided into two groups,group A （early resuscitation） received 33% and group B（late resuscitation） received 33% of their cumulative 72-hours intravenous fluid volume within the first 24 h of presentation.We compare the primary clinical outcomes in two gruops.Conclusion The patients with severe acute pancreatitis who have received at lest one third of their total 72 h intravenous fluid volume during the first 24 h have lower mortality compared with those who are initially less aggressively.

关 键 词：急性重症胰腺炎 液体复苏 

分 类 号：R576[医药卫生—消化系统]