安宇亮,周力,黄永辉,宁睿
AN Yu liang, ZHOU Li, HUANG Yong hui, NING Rui(Department of Digestive Internal Medicine, the Affiliated Hospital of Guiyang Medical college, Guiyang 550004, China)

• 1:贵阳医学院附院消化内科
• 2:贵阳医学院附院消化内科
• 3:贵阳医学院附院消化内科
• 4:贵阳医学院附院消化内科 贵州贵阳550004贵阳医学院消化内科研究生(已毕业)

摘要(Abstract)：

目的 :探讨重症急性胰腺炎 (SAP)、轻型急性胰腺炎 (MAP)时血浆白蛋白、血钾和血糖的变化及其发生机制。方法 :使用自动生化分析仪 ,分别测定 18例SAP、31例MAP患者急性期与恢复期及 31例健康成年人(HC)的血浆白蛋白、血钾和血糖水平。结果 :急性期SAP和MAP组的血浆白蛋白、血钾水平较HC组显著降低 ,且SAP组的血浆白蛋白水平较MAP组显著降低 ;SAP组与MAP组的血糖水平较HC组显著升高 ,且SAP组的血糖水平较MAP组显著升高。SAP组血浆白蛋白降低的发生率及血糖升高的发生率均显著高于MAP组。结论 :血浆白蛋白、血糖可以作为评价急性胰腺炎 (AP)严重程度的指标 ,血钾不能作为评价AP严重程度的指标。
Objective: To investigate the changes of albumin and potassium, glucose in serum in patients with severe acute pancreatitis (SAP) and mild acute pancreatitis (MAP) and analyse their causes of changes. Method: Automatic biochemical machine was employed to determine the serum albumin and potassium and glucose. There were 18 cases in SAP group, and 31 cases in MAP group, and 31 subjects in healthy control (HC) group. Results: The three variables changed significantly in acute phase of acute pancreatitis(AP). The levels of serum albumin and potassium in SAP group and in MAP group were significantly lower when compared with HC group respectively, and the serum albumin was significantly lower in SAP group when compared with HC group. The serum glucose level was significantly higher in SAP group and in MAP group when compared with HC group. The serum glucose was significantly higher in SAP group than that in MAP group. The incidences of hypoalbumin and hyperglucose in SAP group were significantly higher than that in MAP group. Conclusion: Serum albumin and glucose can be used as indexes in assessing the severity of AP, and serum potassium is not a good indicator of the AP sererity.

关键词(KeyWords)： 胰腺炎;血浆;白蛋白类;钾;血糖
pancreatitis; plasma; albumins; potassium; blood glucose

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 安宇亮,周力,黄永辉,宁睿
AN Yu liang, ZHOU Li, HUANG Yong hui, NING Rui(Department of Digestive Internal Medicine, the Affiliated Hospital of Guiyang Medical college, Guiyang 550004, China)

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DOI: 10.19367/j.cnki.1000-2707.2002.04.012

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