Objective To analyze the clinic characteristics of transient splenomegaly complicated with a-cute pancreatitis. Methods Between June 2007 to January 2009, 60 patients with acute pancreatitis, including 19 complicated with splenomegaly were retrospectively analyzed. Results In acute pancreatitis, the morbility of sple-nomegaly was 20%. In severe acute pancreatitis patients, the morbility of splenomegaly was 67%. In severe acute pancreatitis, the hospital stay of acute pancreatitis patients with splenomegalywas 21-49 days (mean 26.6±5.6). The hospital stay of Patients without splenomegaly was 16-28 days (mean 20.2±2.3). The hospital stay of acute pancreatitis patients with splenomegaly was 14-25 days (mean 17.3±1.9); patients without splenomegaly was 7-14 days (mean 10.1±1.5) (P <0.05). Conclusion Splenomegaly prolongs hospital stay in acute pancreatitis pa-tients.%目的 通过影像学检查连续动态观察急性胰腺炎并发脾肿大的临床意义.方法 回顾性分析我院2007年6月至2009年1月60例急性胰腺炎患者中19例并发脾肿大患者的临床资料,分析急性胰腺炎并发脾肿大的临床意义.结果 在轻症急性胰腺炎中,脾肿大者9例;在重症急性胰腺炎中,脾肿大者10例.重症胰腺炎伴发脾肿大发生率较高,与轻症患者相比,差异有统计学意义(P<0.05).在重症急性胰腺炎中,有脾肿大患者住院日为(21～49)d,平均住院日(26.6±5.6)d.而无脾肿大者住院日为(16～28)d,平均住院日为(20.2±2.4)d.在轻症急性胰腺炎中,有脾肿大患者住院日为(14～24)d,平均住院日(16.2±3.0)d,而无脾肿大者住院日为(7～14)d,平均住院日为(10.1±2.3)d.两者相比,差异有统计学意义(P<0.05).结论 脾脏肿大与急性胰腺炎的病情轻重及病程长短相关.
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