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|本期目录/Table of Contents|

体外循环心脏术后高淀粉酶血症的相关因素

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2013年第2期
页码:
227-229
栏目:
临床研究
出版日期:
2013-04-25

文章信息/Info

Title:
Analysis of correlative factors of hyperamylasemia after cardiac surgery with cardiopulmonary bypass
作者:
马红艳; 胡大清
（武汉亚洲心脏病医院心外科，湖北 武汉 430000）
Author(s):
MA Hong-yan;  HU Da-qing
(Department of Cardiovascular Surgery, Wuhan Asia Heart Hospital, Wuhan 430000, Hubei, China)
关键词:
心脏手术; 体外循环; 高淀粉酶血症; 急性胰腺炎; 肌酐
Keywords:
cardiac surgery;  cardiopulmonary bypass;  hyperamylasemia;  acute pancreatitis;  serum creatinine
分类号:
R654.1
DOI:
-
文献标识码:
A
摘要:
目的:探讨无并发急性胰腺炎的体外循环心脏术后患者高淀粉酶血症的相关因素。方法: 回顾性总结111例心脏外科术后患者，根据血清淀粉酶水平分为非高淀粉酶血症组（<450 U/L，n=54）和高淀粉酶血症组（≥450 U/L,n=57），两组均无死亡及腹部并发症，比较两组年龄、性别比例、体外循环时间、阻断循环时间、血肌酐水平、血乳酸水平、白细胞计数、氧合指数的差异，及血淀粉酶与各因素相关性分析。结果: 两组患者的年龄、性别比例、体外循环时间、阻断循环时间、乳酸水平、白细胞计数及氧合指数无明显差异，血清肌酐水平有统计学差异（P<0.05），但相关性分析显示血淀粉酶与以上各因素无显著相关性包括肌酐水平。结论: 体外循环心脏术后高淀粉酶血症与以上各因素无显著相关，可能与肌酐水平有伴随关系。
Abstract:
AIM:To study the correlative factors of hyperamylasemia after cardiac surgery with cardiopulmonary bypass in patients without acute pancreatitis. METHODS: A retrospective analysis of 111 patients undergoing cardiac surgery with cardiopulmonary bypass was carried out. Patients were divided into non-hyperamylasemia group (<450 U/L, n=54) and hyperamylasemia group (≥450 U/L, n=57) according to the serum amylase level. There was no hospital mortality or postoperative abdominal complications in either group. Differences in ages, gender ratios, cardiopulmonary bypass time, blocking circulation time, serum creatinine levels, lactic acid, white blood cell count and oxygen indexes were compared. Analysis was done of the correlation of amylase and other levels. RESULTS: Except for the significant difference (P<0.05) in serum creatinine, no other obvious differences were found in age, gender, cardiopulmonary bypass time, blocking circulation time, white blood cell count and oxygen indexes between groups. However, there was no significant correlation between amylase level and other levels including serum creatinine. CONCLUSION: Amylase level after cardiac surgery with cardiopulmonary bypass had no significant correlation with other factors but may have had a correlation with creatinine.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2012-08-22.作者简介：马红艳，主治医师，硕士 Email:ludy17@126.com
更新日期/Last Update: 2013-04-28