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胆源性和非胆源性急性胰腺炎患者的平均血小板体积

Mean platelet volume in patients with biliary and non-biliary acute pancreatitis.

作者信息

Okuturlar Yildiz, Soylu Aliye, Dogan Halil, Cakmak Serdal, Kirac Utku Irem, Oztosun Bugra, Akarsu Cevher, Ocak Serin Sibel, Avci Akkan, Kones Osman, Ozucelik Dogac N, Guzey Deniz, Harmankaya Ozlem, Kumbasar Abdulbaki

机构信息

Department of Internal Medicine, Bakirkoy Dr. Sadi Konuk Training and Research Hospital Istanbul, Turkey.

Department of Gastroenterology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital Istanbul, Turkey.

出版信息

Int J Clin Exp Pathol. 2015 Feb 1;8(2):2051-6. eCollection 2015.

Abstract

INTRODUCTION

Acute pancreatitis (AP) is a systemic inflammatory disease. We aimed to detect whether there was a change of mean platelet volume (MPV) level on onset and remission patients with biliary and non-biliary acute pancreatitis.

MATERIALS AND METHODS

In our emergency service patients diagnosed with biliary and nonbiliary AP were analyzed retrospectively. Laboratory results measured in onset and remission were recorded and compared.

RESULTS

Total number of patients enrolled in our study was 331 (177 female). 194 cases were classified as biliary and 137 were as non-biliary AP. Average age and numbers of female patients of biliary cases were higher than that of nonbiliary cases. Initial MPV values were lower than remission values in all patients with AP. In biliary group initial MPV was 8.42 ± 1.04 and remission value was 8.71 ± 1.12. In nonbiliary group initial MPV was 8.07 ± 1.02 and remission value was 8.4 ± 1.06. In both groups on onset had lower mean MPV levels than those in remission (P = 0.0001 both of them).

CONCLUSIONS

MPV values were higher than initial values in remission period in patients both of groups. MPV was lower in non-biliary AP group than biliary AP group that can be an indicator of early-onset infection.

摘要

引言

急性胰腺炎(AP)是一种全身性炎症性疾病。我们旨在检测胆源性和非胆源性急性胰腺炎患者发病时及缓解期平均血小板体积(MPV)水平是否有变化。

材料与方法

对我院急诊科诊断为胆源性和非胆源性AP的患者进行回顾性分析。记录并比较发病时和缓解期测得的实验室结果。

结果

本研究共纳入331例患者(177例女性)。194例为胆源性,137例为非胆源性AP。胆源性病例的平均年龄和女性患者数量高于非胆源性病例。所有AP患者的初始MPV值均低于缓解期值。胆源性组初始MPV为8.42±1.04,缓解期值为8.71±1.12。非胆源性组初始MPV为8.07±1.02,缓解期值为8.4±1.06。两组发病时的平均MPV水平均低于缓解期(两组均P = 0.0001)。

结论

两组患者缓解期的MPV值均高于初始值。非胆源性AP组的MPV低于胆源性AP组,这可能是早期感染的一个指标。

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