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目的探讨尿素氮(BUN)、甘油三酯(TG)、D-二聚体(DD)3个指标在急性胰腺炎病情轻重预判中的价值。方法急性胰腺炎患者48例,其中重症患者(SAP)16例,比较入院24h,48h,72h的SAP与MAP(轻症)BUN,TG,DD的差别。结果按α=0.05的标准,入院24h,48h,72h SAP组TG,DD均高于MAP组;入院48h,72h,SAP组BUN高于MAP组;MAP组内,24h,48h,72h TG逐渐下降;SAP组内,TG,DD,BUN均逐渐升高。结论联合检测BUN,TG,DD对早期病情判断有一定参考价值。
Objective To investigate the value of three indicators of urea nitrogen (BUN), triglyceride (TG) and D-dimer (DD) in predicting the severity of acute pancreatitis. Methods Forty-eight patients with acute pancreatitis (SAP) and 16 patients with severe acute pancreatitis (SAP) were recruited. The differences of BUN, TG and DD between SAP and MAP (mild) hospitalized at 24h, 48h and 72h after admission were compared. Results The levels of TG and DD in SAP group were significantly higher than those in MAP group at admission for 24h, 48h and 72h according to the criteria of α = 0.05. The levels of BUN in SAP group were higher than those in MAP group at 48h and 72h admission, and gradually decreased at 24h, 48h and 72h ; Within the SAP group, TG, DD, BUN gradually increased. Conclusions Combined detection of BUN, TG and DD has certain reference value for judging early stage disease.