外科理论与实践2018，Vol.23Issue(1)：37-40,4.DOI:10.16139/j.1007-9610.2018.01.009
早期控制性液体复苏对急性重症胰腺炎预后的影响
Effect of early and controlling fluid resuscitation on prognosis of severe acute pancreatitis
孙文武 1祁梦之 1毛恩强1
作者信息
- 1. 上海交通大学医学院附属瑞金医院急诊重症监护,上海200025
- 折叠
摘要
Abstract
Objective To explore the effect of early and controlling fluid resuscitation on clinical prognosIs of the patients with severe acute pancreatitis(SAP).Methods A total of 61 patients with SAP treated within 72 hours attack in Emergency Intensive Care Unit between 2012 and 2017 were included and divided into ccntrol group and uncontrol group according to whether or not reaching the goals of eady and controlling fluid resuscitation.Control group included 38 patients and uncontrol group included 23 patients.Prognosis of the patients was compared between 2 groups.Results There was no obvious difference of baseline between 2 groups.The patients in control group received more fluid infusion than in uncontrol group (5 493±1 887 vs 3 967±1 203,P＜0.05).The patients in control group had lower mortality than in uncontrol group (18.4％ vs 47.8％,P＜0.05) and lower rate of renal failure within 7 days (21.1％ vs 60.9％,P＜0.05),surgical intervention rate (23.6％ vs 56.5％,P＜0.05).There was no difference in both groups of duration of mechanical ventilation(P=0.23),pulmonary(P=1.00) and circulatory failure rate within 7 days(P=0.27).Conclusions The patients with SAP reached the goals of early and controlling fluid resuscitation might have lower mortality,lower rate of renal failure within 7 days and surgical intervention rate compared with the patients in uncontrol group.关键词
液体复苏/急性重症胰腺炎/临床预后Key words
Fluid resuscitation/Severe acute pancreatitis/Clinical prognosis分类
医药卫生引用本文复制引用
孙文武,祁梦之,毛恩强..早期控制性液体复苏对急性重症胰腺炎预后的影响[J].外科理论与实践,2018,23(1):37-40,4.
