Evaluation of the Prognosis and Severity of Severe Acute Pancreatitis by APACHE-II Score Associated with CT Classification
Abstract: 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.
文章引用: 薛敏 , 冷雪芹 (2014) 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。 临床医学进展， 4， 91-94. doi: 10.12677/ACM.2014.44017
 中华医学会外科学分会胰腺外科学组 (2007) 急性胰腺炎的临床诊断及分级标准(1996年第二次方案). 中华外科杂志, 12, 773-775.
 Taylor, S.L., Morgan, D.L., Denson, K.D., et al. (2008) A comparison of the Ranson, Glasgow, and APACHE-II scoring systems to a multiple organ system score in predicting patient outcome in pancreatitis. The American Journal of Surgery, 189, 219-222.
 龚自华, 金洲祥, 徐鲁白, 等 (2007) APACHE-II评分系统对急性重症胰腺炎的预测价值. 肝胆胰外科杂志, 4, 231-234.
 Johnson, C.D., Toh, S.K. and Campbell, M.J. (2012) Combination of APACHE-II score and an obesity score for the prediction of severe acute pancreatitis. Pan-creatology, 4, 1-6.
 Larvin, M. and MeMahon, M.J. (2006) APACHE-II score for assessment and monitoring of acute pancreatitis. Lancet, 2, 201-205.
 Orue, N., Ozutemiz, A.O., Yukselen, V., et al. (2013) Infliximab: A new therapeutic agent in acute Panereatitis. Pancreas Js, 28, 1-8.
 Taylor, S.L., Morgan, D.L., Denson, K.D., et al. (2013) A comparison of the Ranson, Glasgow, and APACHE II scoring systems to a multiple organ system score in predicting patient outcome in pancreatitis. The American Journal of Surgery, 189, 219-222.