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机构地区:[1]青海大学附属医院,青海 西宁 [2]青海大学附属医院急诊外科,青海 西宁
出 处:《临床医学进展》2024年第3期1756-1760,共5页Advances in Clinical Medicine
摘 要:重症急性胰腺炎是一种病情凶险、并发症多、预后差、病死率较高的急腹症。近年来,随着医学的不断发展,人们发现视黄醇结合蛋白、血乳酸及其清除率在重症急性胰腺炎的发病机制、诊断、治疗及预后等方面展示出重要的临床价值。深入探讨视黄醇结合蛋白、血乳酸浓度及乳酸清除率与重症急性胰腺炎之间的关系,可帮助指导临床决策,降低患者的死亡率,改善患者的预后。本文主要对视黄醇结合蛋白、血乳酸及其清除率在重症急性胰腺炎预后方面的应用的研究进展进行综述,探讨其评估重症急性胰腺炎患者预后的临床意义与价值,以期为临床医师诊治重症急性胰腺炎提供帮助。Severe acute pancreatitis is an acute abdomen with dangerous condition, many complications, poor prognosis and high mortality. In recent years, with the continuous development of medicine, it has been found that retinol binding protein, blood lactic acid and its clearance rate have important clinical value in the pathogenesis, diagnosis, treatment and prognosis of severe acute pancreatitis. In-depth study of the relationship between retinol binding protein, blood lactate concentration and lactate clearance rate and severe acute pancreatitis can help guide clinical decision-making, reduce patient mortality and improve patient prognosis. This article mainly reviews the research progress of the application of retinol binding protein, blood lactic acid and its clearance rate in the prognosis of severe acute pancreatitis, and discusses its clinical significance and value in evaluating the prognosis of patients with severe acute pancreatitis, in order to provide help for clinicians in the diagnosis and treatment of severe acute pancreatitis.
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