APACHE-II、Balthazar CT评分对重症急性胰腺炎患者的严重度及预后评价探讨  

Evaluation of the Prognosis and Severity of Severe Acute Pancreatitis by APACHE-II Score Associated with CT Classification

作　　者：薛敏 冷雪芹[1] 

机构地区：[1]内蒙古医科大学附属医院消化内科,呼和浩特

出　　处：《临床医学进展》2014年第4期91-94,共4页Advances in Clinical Medicine

摘　　要：目的:探讨APACHE-II、Balthazar CT评分系统在重症急性胰腺炎(SAP)患者的严重度及预后评估中的价值。方法:以2010年1月至2013年12月我院收治的资料完整的134例SAP患者为研究对象,回顾性分析APACHE-II评分、Balthazar CT分级与SAP病死率的关系。结果:APACHE-II、Balthazar CT评分系统中高分组与低分组在病死率方面差异有统计学意义。APACHE-II、Balthazar CT综合分型:APACHE-II、Balthazar CT分级病死率差异有统计学意义。结论:APACHE-II、Balthazar CT评分系统在预测重症急性胰腺炎的死亡率、是否手术、局部并发症和系统并发症发生率方面具有更全面作用,对诊治及预后评估更具有临床指导意义。Objective: To evaluate the use of APACHE-II, Balthazar CT Scoring System in terms of severity and prognosis of severe acute pancreatitis (SAP). Methodology: By studying patients suffering from severe acute pancreatitis (SAP) admitted to General Surgery Inner Mongolia Medical University Affiliated Hospital from January 1st, 2007 to December 31st, 2008, the relationship between APACHE-II, Balthazar CT scoring systems and the mortality rate of severe acute pancreatitis (SAP) was analyzed. Results: There was statistical difference between high and low score groups in the APACHE-II, Balthazar CT scoring systems. Comprehensive type of APACHE-II, Balthazar CT: There was statistical difference between the classifications of mortality of APACHE-II and Balthazar CT. Conclusion: APACHE-II score associated with CT grading score is significantly better than APACHE-II score and Balthazar CT score in predicting the death of severe acute Pancreatitis, possibility of surgery, systematic and local complications.

关 键 词：重症急性胰腺炎 APACHE-II评分 Balthazar CT评分 

分 类 号：R5[医药卫生—内科学]