Objective To evaluate the relationship of serum glucose, calcium, CRP and HCT to prognosis in severe acute pancreatitis.Methods The serum glucose, calcium, CRP and HCT were detected in 30 cases of severe acute pancreatitis patients ,and divided into two respective groups, compare the incidence of complications and clinical effect were analysed between the groups.Results Two respective groups are differences in complication rate, the total clinical cure rate was statistically signiifcant.Conclusions The serum calcium,the serum glucose,CRP and HCT were relate the level of severity of acute pancreatitis.%目的:探讨血钙、血糖、C反应蛋白、血细胞比容与急性胰腺炎病情严重程度和预后的关系。方法检测30例重症急性胰腺炎患者血钙、血糖、CRP、HCT的水平,按血钙、血糖、CRP、HCT的水平分成2组,分析各组间并发症的发生率、临床疗效总有效率有无统计学差异。结果血钙<1.5mmol/L组、血糖>11.2mmol/L组、HCT>43%组和CRP>150mg/L组相比较血钙>1.5mmol/L组、血糖<11.2mmol/L组、HCT<43%组和CRP<150mg/L组在并发症发生率、临床疗效总有效率的差异有统计学意义。结论血钙水平降低和血糖、CRP、HCT水平升高与急性胰腺炎病情的严重程度相关。
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