CAJ | 학술논문

目的：探讨重症急性胰腺炎（SAP）早期肠功能障碍对后期继发胰腺感染的影响。方法回顾性分析132例 SAP 患者的病历资料，其中出现胰腺继发感染的患者50例，无感染的患者82例，所有患者均出现早期肠道功能障碍，其中肠功能障碍持续时间≥5天51例，对患者出现继发感染组和非感染组的肠功能障碍持续时间进行统计学比较。结果132例重症急性胰腺炎继发胰腺感染的总发生率为37．88％，肠功能障碍≥5 d 的患者继发胰腺感染发生率明显升高（P ＜0．01），肠功能障碍持续时间与继发胰腺感染明显相关。结论早期持续肠功能障碍是导致胰腺继发感染的重要原因。
목적：탐토중증급성이선염（SAP）조기장공능장애대후기계발이선감염적영향。방법회고성분석132례 SAP 환자적병력자료，기중출현이선계발감염적환자50례，무감염적환자82례，소유환자균출현조기장도공능장애，기중장공능장애지속시간≥5천51례，대환자출현계발감염조화비감염조적장공능장애지속시간진행통계학비교。결과132례중증급성이선염계발이선감염적총발생솔위37．88％，장공능장애≥5 d 적환자계발이선감염발생솔명현승고（P ＜0．01），장공능장애지속시간여계발이선감염명현상관。결론조기지속장공능장애시도치이선계발감염적중요원인。
Objective To explore the relation of early stage intestinal dysfunction with severe acute pancrea-titis and secondary pancreatic infection.Method 1 32 patients with acute pancreatitis were analyzed retrospectively, secondary infection occurred in 50 patients and 82 patients free from infection.There were 51 cases with intestinal dysfunction over 5 days.Intestinal function durations were compared between the infected group and the non-infected group.The comparison of datum in two groups was conducted by count data using the χ2 test.Results The total rate of secondary infection of the pancreas was 37.88%.And there was statistical significantion(P <0.01 )between the infection group and the non-infected group on intestinal dysfunction duration over 5 days,intestinal function disorder had relation with the secondary pancreatic infection.Conclusion Intestinal dysfunction may be the main factor of the secondary pancreatic infection.