APACHE-Ⅱ评分对重症急性胰腺炎的临床意义  

Clinical significance of APACHE-Ⅱ system in severe acute pancreatitis

作　　者：朱代华[1] 张兴明[1] 李钺[1] 毛凯[1] 

机构地区：[1]重庆医科大学附二院普通外科,重庆400010

出　　处：《第三军医大学学报》2001年第8期986-987,共2页Journal of Third Military Medical University

摘　　要：目的 研究急性生理学和慢性健康评价（ＡＰＡＣＨＥ－Ⅱ）对重症急性胰腺炎（ＳＡＰ）的临床意义。方法 回顾分析本院过去１０年的ＳＡＰ病例７３例。结果 急性胰腺炎患者，若以ＡＰＡＣＨＥ－Ⅱ评分≥８分为诊断ＳＡＰ的标准，诊断准确率为８１％，假阴性率为１９％；伴器官功能障碍的ＳＡＰ－Ⅱ组ＡＰＡＣＨＥ－Ⅱ均值明显高于无器官功能障碍的ＳＡＮ－Ⅰ组；死亡组ＡＰＡＣＨＥ－Ⅱ均值明显高于存活组；１２分以上者病死率明显高于１２分以下者。结论ＡＰＡＣＨＥ－Ⅱ评分对ＳＡＰ的诊断、预后估计及治疗均具有重要的价值。Objective To study the clinical signifi cance of the acute physiological and chronic health evaluation Ⅱ (APACHE-Ⅱ) system in severe acute pancreatitis (SAP). Methods A total of 73 cases of severe acute panreatitis admited in our hospital in the past 10 yeare were retro- spectively analyzed. Results When APACHE-Ⅱ≥ 8 score was taken as criterion for the diagnsis of SAP in the present study, it was found that the accurate was 81 % and the false negative rate was 19%. The arithmetic mean for SAPⅡ group which complicated with organ dysfunction was obviously higher than that for SAP0-I group which without organ dysfunction. The arithmetic mean for the death group was evidently greater than that for the survival group. The mortality was markedly larger in the group of≥ 12 score than in < 12 score. Conclusion APACHE-Ⅱ System plays an important role in the diagnosis, prognosis estimation and treatment of SAP.

关 键 词：重症急性胰腺炎 APACHE-Ⅱ评分 生理学 诊断 

分 类 号：R657.51[医药卫生—外科学]