急性胰腺炎患者强离子隙在病情严重程度预测中的价值探讨

doi:10.3969/j.issn.1002-1949.2017.10.011

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摘要目的：探讨急性胰腺炎患者强离子隙在病情严重程度预测中的价值。方法：本研究回顾性分析了2010-01~2016-06天津市第五中心医院急性胰腺炎患者186例，分为轻中度组、重度组和对照组，采用Stewart法分析了患者的酸碱失衡相关参数。采用单因素和多因素回归分析比较患者的年龄、性别、APACHE Ⅱ评分、动脉血气分析结果、生化检测结果、血常规结果及住院期间病死率、住院时间和急诊住院时间与患者疾病严重程度的相关性。结果：重度组患者APACHEⅡ评分为18，强阳离子隙为7.88，Na+浓度为139，均高于轻中度组和对照组（12,2.11,138；0,0.22,135），是急性胰腺炎患者疾病严重程度的独立预测因子。其中强阳离子隙预测的准确性高达91%，高于APACHE Ⅱ评分的87%和Na+的71%。结论：强阳离子隙预测急性胰腺炎患者病情严重程度的准确性极高，有利于对急性胰腺炎患者进行严重程度的分类，能够在临床上给予患者更适当的治疗。

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	赵紫烟
	史丽

收稿日期: 2017-08-23

作者简介: 赵紫烟（1974－），女，主治医师，E-mail：21045531@qq.com

引用本文:

赵紫烟，史丽. 急性胰腺炎患者强离子隙在病情严重程度预测中的价值探讨[J]. 中国急救医学, 2017, 37(10): 919-922.
Zhao Zi-yan, Shi Li. The value of strong ion gap in predicting the severity of acute pancreatitis. Chinese Journal of Critical Care Medicine, 2017, 37(10): 919-922.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2017.10.011 或 http://www.cnemergency.org.cn/CN/Y2017/V37/I10/919

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