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目的:探讨C反应蛋白联合胸腔积液对急性重症胰腺炎的早期预测价值。方法:回顾性分析54例急性重症胰腺炎及196例急性轻症胰腺炎患者临床表现、实验室检查及CT检查资料,分析C反应蛋白、胸腔积液与急性重症胰腺炎患者病因、病情轻重、并发症及预后的相关性。结果:54例急性重症胰腺炎患者合并胸腔积液者45例(83.3%);并C反应蛋白升高46例(85.2%);C反应蛋白升高合并胸腔积液37例(68.5%)。196例急性轻症胰腺炎患者合并胸腔积液18例(9.2%),C反应蛋白升高57例(29.1%),C反应蛋白升高合并胸腔积液2例(1.0%),2组比较差异有统计学意义(P<0.01)。结论:胸腔积液、C反应蛋白均可作为急性重症胰腺炎的独立预测指标,但以胸腔积液联合C反应蛋白最为准确。
Objective: To investigate the early predictive value of C-reactive protein combined with pleural effusion in acute severe pancreatitis. Methods: A retrospective analysis of 54 cases of acute severe pancreatitis and 196 cases of acute mild pancreatitis in patients with clinical manifestations, laboratory tests and CT examination data, analysis of C-reactive protein, pleural effusion and acute severe pancreatitis etiology, severity, Complications and prognosis of the correlation. Results: Forty-five patients (83.3%) had pleural effusion in 54 patients with acute severe pancreatitis. 46 cases (85.2%) had elevated C-reactive protein and 37 cases (68.5%) had elevated C-reactive protein. Among 196 patients with acute mild pancreatitis, 18 cases (9.2%) had pleural effusion, 57 cases (29.1%) had elevated C-reactive protein and 2 cases (1.0%) had elevated C-reactive protein with pleural effusion The difference was statistically significant (P <0.01). Conclusions: Both pleural effusion and C-reactive protein can be used as independent predictors of acute severe pancreatitis, but pleural effusion combined with C-reactive protein is most accurate.