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目的 了解急性胰腺炎合并肾脏损害的发病率及临床表现 ,探讨发病机理及估计预后。方法 111例急性胰腺炎病例中 ,合并肾脏损害的 76例 ,对其临床资料进行统计分析。结果 急性胰腺炎合并肾脏损害的发生率为6 8 4 7% ,重症组明显高于轻症组。主要表现为蛋白尿 (5 9 2 1% ) ,镜下血尿 (47 37% ) ,镜下白细胞尿 (5 5 2 6 % ) ,重症组血尿素氮增高 (2 5 81% )。结论 急性胰腺炎合并肾脏损害发生率较高 ,重症可合并急性肾功能衰竭 ,死亡率较高。胰性肾病的表现多种多样 ,临床医生应加强对本病的认识 ,早期诊治 ,改善预后
Objective To understand the incidence and clinical manifestations of acute pancreatitis complicated with renal damage, to explore the pathogenesis and prognosis. Methods A total of 111 cases of acute pancreatitis with renal damage in 76 cases, the clinical data were statistically analyzed. Results The incidence of acute pancreatitis with kidney damage was 68.47%, significantly higher in severe cases than in mild cases. The main manifestations were proteinuria (59 12%), microscopic hematuria (47 37%), microscopic leukocytosis (5262%), and severe blood urea nitrogen (2581%). Conclusions The incidence of acute pancreatitis complicated with renal damage is high. Severe acute pancreatitis can be associated with acute renal failure with a high mortality rate. The performance of pancreatic nephropathy varied, clinicians should strengthen the understanding of the disease, early diagnosis and treatment, improve the prognosis