Agarwal N, Pitchumoni C S
Department of Surgery, Our Lady of Mercy Medical Center, Bronx, New York.
Am J Gastroenterol. 1991 Oct;86(10):1385-91.
Assessment of severity of acute pancreatitis (AP) is a key determinant in the management of a patient. This review evaluates the various methods of assessment: clinical assessment, biochemical tests, Ranson's and Imrie's multiple prognostic criteria, simplified prognostic criteria, APACHE II, peritoneal lavage, and computed tomography. Although all of the above criteria can identify most of the seriously ill patients, each has some drawbacks. Individual preference and available institutional facilities greatly influence the method used for prognostic assessment in AP. However, some type of predictive assessment is possible in any hospital, and should be used in the management of patients with AP.
评估急性胰腺炎（AP）的严重程度是患者管理中的关键决定因素。本综述评估了各种评估方法：临床评估、生化检查、兰森（Ranson）和伊姆里（Imrie）的多项预后标准、简化预后标准、急性生理与慢性健康状况评分系统II（APACHE II）、腹腔灌洗以及计算机断层扫描。尽管上述所有标准都能识别出大多数重症患者，但每种方法都有一些缺点。个人偏好和可用的机构设施在很大程度上影响用于AP预后评估的方法。然而，任何医院都可以进行某种类型的预测评估，并且应该用于AP患者的管理。
