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目的了解急性胰腺炎合并肥胖患者的临床特点,为日常诊疗及病情评估提供指导。方法采用回顾性研究的方法,分别记录急性胰腺炎肥胖组与非肥胖组患者的临床资料,进行对比分析。结果急性胰腺炎患者中肥胖组患者的血糖、甘油三酯、白细胞计数、C-反应蛋白、住院天数、胰腺炎的复发率、重症胰腺炎的发生率、病死率均明显高于非肥胖组,中心性肥胖重症胰腺炎的发病率、病死率更高。结论急性胰腺炎合并肥胖患者全身炎性反应明显,更易发展成为重症胰腺炎,病死率高。
Objective To understand the clinical features of patients with acute pancreatitis complicated with obesity and provide guidance for routine diagnosis and treatment of patients and assessment of their condition. Methods The clinical data of patients with obesity and non-obese patients with acute pancreatitis were retrospectively studied and compared. Results The levels of blood glucose, triglyceride, leukocyte count, C-reactive protein, length of hospital stay, recurrence rate of pancreatitis, incidence of severe pancreatitis and mortality in obese group were significantly higher than those in non-obese group in patients with acute pancreatitis. The incidence of central obesity and severe pancreatitis, mortality is higher. Conclusion Patients with acute pancreatitis complicated with obesity systemic inflammatory response was more likely to develop into severe pancreatitis, high mortality.