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[胆汁和尿液理化性质参数在胆石症相关性胰腺炎诊断中的应用]

[The parameters of physico-chemical properties of bile and urine in the diagnosis of pancreatitis associated with cholelithiasis].

作者信息

Cherkasov V A, Popov A V, Gushchenskiĭ L B, Palatova L F

出版信息

Vestn Khir Im I I Grek. 2003;162(3):36-40.

PMID:12942607
Abstract

Specific electrical conductance (SEC) of the hepatic bile in 94 patients with cholelithiasis and concomitant pancreatitis was increased (p < 0.001) and depended on the degree of cholestasis and the morpho-functional state of the liver. The value of SEC of the intraoperative bile higher than 193 S/m is taken for a criterion of the diagnostics of biliary pancreatitis. The electrical conductance of urine during the first 4 days of observation decreased in patients with acute pancreatitis (p < 0.05), impaired carbohydrate metabolism and concomitant renal dysfunction. The value of SEC of urine lower than 238 S/m corresponds to acute pancreatitis. The investigation of physico-chemical indices of biological liquids in patients with a pathology of the pancreato-biliary system allows to objectively control the course of the disease and to correct the treatment methods.

摘要

94例胆石症合并胰腺炎患者肝胆汁的比电导率(SEC)升高(p<0.001),且取决于胆汁淤积程度和肝脏的形态功能状态。术中胆汁SEC值高于193 S/m被作为胆源性胰腺炎诊断的标准。在观察的前4天,急性胰腺炎患者、碳水化合物代谢受损并伴有肾功能不全患者的尿电导率降低(p<0.05)。尿SEC值低于238 S/m对应急性胰腺炎。对胰胆管系统疾病患者生物液体的理化指标进行研究,有助于客观地控制疾病进程并调整治疗方法。

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