40例急性出血坏死性胰腺炎患者APACHEⅡ评分的临床分析  

Analysis of APACHE Ⅱ score in 40 cases of acute hem-orrhagic and necrotic pancreatitis

作　　者：牛正翔 王爱琴[1] 杨德同[1] 刘少华[1] 杨毅[1] 

机构地区：[1]南京铁道医学院附属医院

出　　处：《中国危重病急救医学》1995年第4期215-217,共3页Chinese Critical Care Medicine

摘　　要：对４０例急性出血坏死性胰腺炎患者进行ＡＰＡＣＨＥⅡ评分，比较了１２例非手术治疗与２８例早期手术治疗者的ＡＰＡＣＨＥⅡ积分及实际病死率。结果：急性出血坏死性胰腺炎的病死率随着ＡＰＡＣＨＥⅡ积分的增加而上升，并且非手术治疗较早期手术治疗的病死率明显下降。因此，作者认为本病的治疗原则应是诊断明确后，首先给予针对胰腺以及全身的保守支持及监测治疗。早期手术治疗应慎重掌握适应证。并指出ＡＰＡＣＨＥⅡ积分对急性出血坏死性胰腺炎的预后有判断作用。The APACHE Ⅱ score was evaluated in 4O cases ofacute hemorrhagic and necrotic pancreatitis(AHNP)atour hospital from 1990 to 1993.The APACHE Ⅱ scoresand the mortality rates were compared between non-op-erated patients and the early operated ones. It was foundthat the mortality rate rose with increasing APACHE Ⅱscores and was much lower in non-operated patientsthan that in early operated ones,Thus , the authors con-sider that the supportive treatment and monitoring in ac-cordance with pancreatitis and the patients,general con-dition should be the first priority as soon the definite di-agnosis is made,and,that indication for early operationshould be judged carefully.Also,it is indicated that A-PACHE Ⅱ score can reflect the prognosis of acute hem-orrhagic and necrotic pancreatitis.

关 键 词：胰腺炎 急性 出血坏死性 APACHEⅡ评分 预后 

分 类 号：R576[医药卫生—消化系统]