Review of acute pancreatitis scoring systems
-
摘要: 急性胰腺炎为急诊常见疾病,大多数为轻型病程,20%发展为急性重症胰腺炎,病情凶险,病死率高。因而早期对急性胰腺炎进行评估,识别急性重症胰腺炎患者并给予早期积极治疗至关重要。本文介绍了目前临床上广泛使用的Ranson、APACHE II、BISAP、CTSI等急性胰腺炎评分系统,并对其特点进行综述。Abstract: Acute pancreatitis (AP) is a common emergency.Most patients with AP run a benign course, while up to 20% develop to severe acute pancreatitis with high mortality rate.As a result, it's crucial to identify high risk patients and give them early appropriate treatments.This article will review and compare the characteristic of Ranson, APACHE II, BISAP, CTSI scoring systems, which are widely used to differentiate mild acute pancreatitis from severe acute pancreatitis, and predict mortality rate.
-
Key words:
- pancreatitis /
- APACHE Ⅱ score /
- Ranson score /
- BISAP score
-
[1]Pavlidis TE, Pavlidis ET, Sakantamis AK.Advances in prog-nostic factors in acute pancreatitis:a mini-review[J].Hep-atobiliary Pancreat Dis Int, 2010, 9 (5) :482-486. [2]Wahab S, Khan RA, Ahmad I, et al.Imaging and clinicalprognostic indicators of acute pancreatitis:a comparative in-sight[J].Acta Gastroenterol Latinoam, 2010, 40 (3) :283-287. [3]Gravante G, Garcea G, Ong SL, et al.Prediction of mortalityin acute pancreatitis:a systematic review of the publishedev-idence[J].Pancreatology, 2009, 9 (5) :601-614. [4]乐星华, 谢会忠.急性胰腺炎评分标准的评价[J].现代消化及介入诊疗, 2007, 12 (3) :195-199. [5]Lempinen M, Puolakkainen P, Kemppainen E.Clinical valueof severity markers in acute pancreatitis[J].Scand J Surg, 2005, 94 (2) :118-123. [6]Banks PA, Freeman ML.Practice guidelines in acute pancre-atitis[J].Am J Gastroenterol, 2006, 101 (10) :2379-2400. [7]UK Working Party on Acute Pancreatitis.UK guidelines forthe management of acute pancreatitis[J].Gut, 2005, 54 (Suppl 3) :iii1-9. [8]Chatzicostas C, Roussomoustakaki M, Vlachonikolis IG, etal.Comparison of Ranson, APACHE II and APACHE III sco-ring systems in acutepancreatitis[J].Pancreas, 2002, 25 (4) :331-335. [9]Juneja D, Gopal PB, Ravula M.Scoring systems in acutepancreatitis:which one to use in intensive care units?[J].J Crit Care, 2010, 25 (2) :358.e9-358.e15. [10]Kakar P, Govil D, Gupta S, et al.Validation of APACHE IV inpatients with severe acute pancreatitis[J].Critical Care, 2008, 12 (Suppl 2) :P500. [11]Apachristou GI, Papachristou DJ, Avula H, et al.Obesity in-creases the severity of acute pancreatitis:performance of A-PACHE-O score and correlation with the inflammatory re-sponse[J].Pancreatology, 2006, 6 (4) :279-285. [12]Wu BU, Johannes RS, Sun X, et al.The early prediction ofmortality in acute pancreatitis:a large population-basedstudy[J].Gut, 2008, 57 (12) :1698-1703. [13]Papachristou GI, Muddana V, Yadav D, et al.Comparison ofBISAP, Ranson’s, APACHE-II, and CTSI scores in predic-ting organ failure, complications, and mortality in acute pan-creatitis[J].Am J Gastroenterol, 2010, 105 (2) :435-441. [14]Alhajeri A, Erwin S.Acute pancreatitis:value and impact ofCT severity index[J].Abdom Imaging, 2008, 33 (1) :18-20. [15]Baddeley RNB, Skipworth JRA, Pereira SP.Acute pancreati-tis[J].Medicine, 2011, 39 (2) :108-115. [16]陶金, 文卓夫, 郑丰平, 等.4种临床评分标准对急性胰腺炎严重程度评估价值的比较[J].中国热带医学, 2008, 8 (6) :962-964.
本文二维码
计量
- 文章访问数: 26035
- HTML全文浏览量: 458
- PDF下载量: 2634
- 被引次数: 0