Wahab Shagufta, Khan Rizwan Ahmad, Ahmad Ibne, Wahab Arif
Deptt of Radiodiagnosis, J. N. Medical College, AMU, Aligarh, India.
Acta Gastroenterol Latinoam. 2010 Sep;40(3):283-7.
Acute pancreatitis is a disease with a broad spectrum of clinical presentation. It varies in severity from mild edematous pancreatitis with mostly uneventful recovery to severe necrotizing forms associated with significant morbidity and mortality. Various severity scoring systems are used for assessing the prognosis of acute pancreatitis. These include the clinical scoring scales as Ranson criteria, Glasgow scales, simplified acute physiology (SAP) score and acute physiology and chronic health evaluation II (APACHE II) score. The CT severity index (CTSI) derived by Balthazar grading of pancreatitis and the extent of pancreatic necrosis is now widely used in describing CT findings of acute pancreatitis and serves as the radiological scoring system. The purpose of this review is to analyze the correlation of clinical and radiological scoring scales with patient outcome and assess their role as objective prognosticators of acute pancreatitis patients.
急性胰腺炎是一种临床表现范围广泛的疾病。其严重程度各异，从大多可顺利康复的轻度水肿性胰腺炎到伴有显著发病率和死亡率的严重坏死性胰腺炎。各种严重程度评分系统用于评估急性胰腺炎的预后。这些系统包括临床评分量表，如兰森标准、格拉斯哥量表、简化急性生理学（SAP）评分和急性生理学与慢性健康状况评估II（APACHE II）评分。由巴尔萨泽对胰腺炎进行分级并结合胰腺坏死范围得出的CT严重指数（CTSI），目前广泛用于描述急性胰腺炎的CT表现，并作为放射学评分系统。本综述的目的是分析临床和放射学评分量表与患者预后的相关性，并评估它们作为急性胰腺炎患者客观预后指标的作用。
