急性胰腺炎患者血浆D-二聚体和C-反应蛋白测定的临床意义

摘要

Objective To explore the clinical value of plasma D-dimer(DD) and C-reactive protein(CRP) detected in patients with acute pancreatitis (AP). Methods 67 patients with AP,including mild acute pancreatitis(MAP) 38 cases and severe acute pancreatitis(SAP) 29 cases,and 30 health checkup patients (control group) were selected. The plasma DD and CRP levels were detected in AP patients and control group. Results The levels of plasma DD and CRP in MAP group and SAP group were significantly higher than that of the control(P < 0.01),while the plasma DD and CRP levels in SAP group were obviously higher than those of MAP group(P<0.01). Conclusion Detection of plasma DD combined with CRP in AP patients have important clinical value for judgment of the severity.%　　目的探讨急性胰腺炎（AP）患者血浆D-二聚体（DD）和C-反应蛋白（CRP）测定的临床价值。方法选择67例急性胰腺炎患者，其中轻症急性胰腺炎（MAP）38例，重症急性胰腺炎（SAP）29例；另选取30例健康体检者作为对照组。分别对急性胰腺炎患者及对照组进行血浆DD和CRP水平的测定。结果 MAP组和SAP组血浆DD和CRP水平均显著高于对照组（P＜0.01）；而SAP组血浆DD和CRP水平则显著高于MAP组（P＜0.01）。结论联合检测血浆DD和CRP水平对判断急性胰腺炎患者的病情严重程度有重要的临床价值。