关键词: 急性胰腺炎, 血气分析, 电解质, 酸碱平衡

Abstract:

Objective: To observe the changes of vigour analysis and electrolyte in acute pancreatitis. Method: The 76 cases of
acute pancreatitis were divided into the mild acute group（MAP）and the severe acute group（SAP）, and the changes of artery vigour and electrolyte collected within 48 hours from the patients attacked by the disease were analyzed. Result：The level of PaCO2, HCO3- and PaO2 in the SAP group was obviously lower than that in the MAP group（P<0.05）. No statistical difference on the level of pH, K+, Na+ and Ca2+ between the MAP and the SAP groups. In the acid-base metabolism, the respiratory alkalosis is the most common; this was followed by respiratory alkalosis and metabolic acidosis, metabolic alkalosis, respiratory acidosis and metabolic acidosis. Conclusion: In the patients with acute pancreatitis, the oxygen metabolism, acid -base balance and electrolyte disorders have occurred before acute respiratory distress syndrome and multiple organ dysfunction syndrome. Making the detection of electrolyte and arterial vigour analysis, and early intervention are of clinical significance in the prevention of multiple organ dysfunction syndrome and in the reduction of the case fatality rate of acute pancreatitis.

Key words: acute pancreatitis, vigour analysis, electrolyte, acid-base balance