Ruiz R, Pozo E, Gonzáles M
Departamento de Gastroenterología, Hospital Militar Central, Lima-Peru.
Rev Gastroenterol Peru. 1992;12(1):5-11.
Thirty-one patients with acute pancreatitis were prospectively evaluated using the Early Prognostic Risk Factors of Ranson and Bank & Wise, in order to assess severity of that condition. The purpose was to determine the usefulness of such factors as clues to orient diagnosis and treatment of acute pancreatitis, particularly in the most severe clinical forms; and the factibility of using them in our setting. The presence of 4 or more of Ranson's and/or 1 or more of Bank & Wise Factors fulfilling positive criteria, identified the patients with a high risk of complications and mortality. Hypocalcemia, leucocytosis and hyperuricemia were the most frequent findings in this group. The development of Early Objective Prognostic Risk Factors in acute pancreatitis, as a clinical concept, has improved the management of these patients. It allows to establish diagnosis and therapeutics upon objective basis.
为评估急性胰腺炎的严重程度，对31例急性胰腺炎患者采用兰森、班克和怀斯早期预后危险因素进行前瞻性评估。目的是确定这些因素作为急性胰腺炎诊断和治疗线索的有用性，尤其是在最严重的临床类型中；以及在我们的环境中使用它们的可行性。兰森氏和/或班克及怀斯因素中4项或更多符合阳性标准，可确定患者有并发症和死亡的高风险。低钙血症、白细胞增多症和高尿酸血症是该组中最常见的发现。急性胰腺炎早期客观预后危险因素作为一个临床概念的发展，改善了这些患者的管理。它允许在客观基础上确立诊断和治疗方法。
