[血液浓缩、急性生理学与慢性健康状况评分系统II（Apache II）及兰森标准作为秘鲁利马一家医院急性胰腺炎患者严重程度的早期预测指标]

[Hemoconcentration, Apache II and Ranson as early predictors of severity in patients with acute pancreatitis in a hospital in Lima - Peru].

作者信息

Chavarría Herbozo Carlos Miguel, Espinoza Ríos Jorge Luis, Kawano Kobashigawa David Alberto, Surco Yolanda, Bravo Eduard, Samalvides Cuba Frine, Prochazka Zárate Ricardo, Piscoya Rivera Alejandro, Pinto Valdivia José, de Los Ríos Senmache Raúl, Huerta Mercado Jorge

机构信息

Alumno de la Facultad de Medicina Alberto Hurtado de la Universidad Peruana Cayetano Heredia.

出版信息

Rev Gastroenterol Peru. 2011 Jan-Mar;31(1):26-31.

PMID:21544153

Abstract

OBJECTIVE

Compare hemoconcetration, APACHE II and Ranson scores as early predictors of severity defined by Atlanta criteria in patients with acute pancreatitis at Hospital Nacional Cayetano Heredia.

MATERIALS AND METHODS

Retrospective descriptive study between December 2009 to November 2010 done using a data collection sheet to gather study relevant information. We classified acute pancreatitis into mild or severe according to Atlanta symposium criteria for organ failure and/or local complications. Comparison of hematocrit values was made using a t Student test to detect a significant difference and the area below the ROC curve was analyzed.

RESULTS

Counting with 151 patients, 103 women (68.2%), with mean age of 45.5 ± 19.17 years, 112 mild pancreatitis (74.2%) and 39 severe (25.8%). Mean hematocrit in mild cases was 38.40 ± 4.77% and 39.78 ± 7.35% in severe group with p equal to 0.182. Area below the ROC curve of 0.89 y 0.68 for APACHE II and Ranson scores respectively.

CONCLUSION

Hemoconcentration and Ranson proved not to be as useful as APACHE II score in predicting severity in acute pancreatitis.

摘要

目的

比较血细胞比容、急性生理与慢性健康状况评分系统II（APACHE II）和兰森评分，作为卡耶塔诺·埃雷迪亚国立医院急性胰腺炎患者按照亚特兰大标准定义的严重程度的早期预测指标。

材料与方法

2009年12月至2010年11月间进行的回顾性描述性研究，使用数据收集表收集与研究相关的信息。我们根据亚特兰大研讨会关于器官衰竭和/或局部并发症的标准，将急性胰腺炎分为轻度或重度。使用t检验比较血细胞比容值以检测显著差异，并分析ROC曲线下面积。

结果

共计151例患者，103例女性（68.2%），平均年龄45.5±19.17岁，112例轻度胰腺炎（74.2%），39例重度（25.8%）。轻度病例的平均血细胞比容为38.40±4.77%，重度组为39.78±7.35%，p值等于0.182。APACHE II和兰森评分的ROC曲线下面积分别为0.89和0.68。