重症急性胰腺炎早期肠功能障碍与继发胰腺感染的关系  

The relation of early stage intestinal dysfunction with severe acute pancreatitis and secondary pancreatic infection

作　　者：曹斌 吕德超[1,2] 王家宝 陈秋星[1,2] 

机构地区：[1]安徽医科大学附属省立医院 [2]安徽省立医院急诊外科,合肥230001

出　　处：《中国临床保健杂志》2014年第5期478-479,共2页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨重症急性胰腺炎(SAP)早期肠功能障碍对后期继发胰腺感染的影响。方法回顾性分析132例SAP患者的病历资料,其中出现胰腺继发感染的患者50例,无感染的患者82例,所有患者均出现早期肠道功能障碍,其中肠功能障碍持续时间≥5天51例,对患者出现继发感染组和非感染组的肠功能障碍持续时间进行统计学比较。结果 132例重症急性胰腺炎继发胰腺感染的总发生率为37.88%,肠功能障碍≥5 d的患者继发胰腺感染发生率明显升高(P<0.01),肠功能障碍持续时间与继发胰腺感染明显相关。结论早期持续肠功能障碍是导致胰腺继发感染的重要原因。Objective To explore the relation of early stage intestinal dysfunction with severe acute pancreatitis and secondary pancreatic infection. Method 132 patients with acute pancreatitis were analyzed retrospectively,secondary infection occurred in 50 patients and 82 patients free from infection. There were 51 cases with intestinal dysfunction over 5 days. Intestinal function durations were compared between the infected group and the non-infected group. The comparison of datum in two groups was conducted by count data using the χ2test. Results The total rate of secondary infection of the pancreas was 37. 88%. And there was statistical significantion（ P 〈0. 01） between the infection group and the non-infected group on intestinal dysfunction duration over 5 days,intestinal function disorder had relation with the secondary pancreatic infection. Conclusion Intestinal dysfunction may be the main factor of the secondary pancreatic infection.

关 键 词：胰腺炎 结肠疾病 功能性 感染 

分 类 号：R657.51[医药卫生—外科学]