Relationship between enhanced CT examination and acute kidney injury in patients with acute pancreatitis
10.3760/cma.j.issn.1673-4904.2012.25.005
- VernacularTitle:急性胰腺炎患者增强CT检查和急性肾损伤的关系
- Author:
Ruiqiong ZHONG
;
Ronghua LI
;
Yu TONG
- Publication Type:Journal Article
- Keywords:
Pancreatitis,acute necrotizing;
Renal insufficiency,acute;
Enhanced CT
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(25):13-15
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the relationship between enhanced CT examination and acute kidney injury in patients with acute pancreatitis.MethodsThe clinical data of 162 acute pancreatitis patients were analyzed retrospectively.Acute kidney injury was diagnosed and graded by RIFLE criterion.The patients were divided into two groups according to enhanced CT examination:enhanced CT group and non-enhanced CT group.ResultsEnhanced CT group had 85 cases,and non-enhanced CT group had 77 cases.The increased creatinine level in enhanced CT group was higher than that in non-enhanced CT group [(59 ± 13 ) μ mol/L vs.(38 ± 11 ) μ mol/L],and there was significant difference between two groups (P ＜0.01 ).The incidence of acute kidney injury in enhanced CT group was higher than that in non-enhanced CT group [30.6％ (26/85) vs.15.6％ (12/77)],and there was significant difference between two groups (P ＜0.01 ).Enhanced CT examination increased the risk of acute kidney injury occurrence (OR =1.293,95％ CI1.089-1.443).After adjusted by diabetes and APACHE Ⅱ score,enhanced CT examination was still anindependent risk factor of acute kidney injury (OR =1.282,95％ CI 1.185-1.377 ).ConclusionsEnhanced CT examination is a potential risk factor of acute kidney injury in acute pancreatitis patients.The time of enhanced CT examination is worthy of further study.
