急性胰腺炎患者血浆D-二聚体变化与病情严重程度的相关分析  

Correlation Analysis of Plasma D-dimer and Severity of Illness in Patients with Acute Pancreatitis

作　　者：薛晓培 XUE Xiao-pei(Department of Digestive Internal Medicine,Rugao Hospital of TCM,Rugao,Jiangsu Province,226500 China)

机构地区：[1]江苏省如皋市中医院消化内科,江苏如皋226500

出　　处：《中外医疗》2018年第1期43-44,47,共3页China & Foreign Medical Treatment

摘　　要：目的对急性胰腺炎患者病情严重程度与D-D(血浆D-二聚体)变化的关系进行探讨。方法方便选取2014年1月—2017年7月入院的120例急性胰腺炎患者,根据依据病情严重程度62例轻度者为轻症组,58例为重度者为重症组,给予D-D检测,分析D-D水平变化情况。结果重症组入院时D-D(1.31±0.27)μg/m L,入院3d(1.65±0.46)μg/m L,入院7 d(1.86±0.17)μg/m L高于轻症组(P<0.05);轻症组白细胞计数(11.69±3.42)×109/L,PT(12.87±1.58)s,APTT(33.89±2.93)s,BG(6.72±1.55)mmol/L,PCV(0.29±0.01),血钙(2.35±0.19)g/L优于重症组(P<0.05)。结论急性胰腺炎患者病情越严重,则各系统的受累越明显,D-D越高。Objective This paper tries to investigate the relationship between the severity of acute pancreatitis and D-D(plasma D-dimer).Methods From January 2014 to July 2017,120 patients with acute pancreatitis admitted to hospital were convenient selected in this study.According to the severity of the disease,62 mild cases were considered as mild cases group and 58 cases were severe cases as severe cases group.D-D tests were given,DD changes were analyzed.Results In the severe group,D-D(1.31±0.27)μg/mL,3 days(1.65±0.46)μg/mL,7 days(1.86±0.17)μg/mL,higher than mild group(P<0.05);hemameba in the mild group was(11.69±3.42)×109/L,PT(12.87±1.58)s,APTT(33.89±2.93)s,BG(6.72±1.55)mmol/L,PCV(0.29±0.01),serum calcium(2.35±0.19)g/L,superior to the severe group(P<0.05).Conclusion Patients with acute pancreatitis,the more serious the disease,the more obvious the involvement of the system,the higher the D-D.

关 键 词：急性胰腺炎 血浆D-二聚体 病情严重程度 相关性 

分 类 号：R576[医药卫生—消化系统]