急性胰腺炎：用兰森评分评估严重程度及CT评估
Acute pancreatitis: assessment severity with Ranson score and CT evaluation.
作者信息
Aphinives Potchavit, Karunasumetta Chananya, Bhudhisawasdi Vajarabhongsa, Saesaew O-Tur
机构信息
Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
出版信息
J Med Assoc Thai. 2011 Apr;94(4):437-40.
BACKGROUND
Severe acute pancreatitis is a complex and challenging problem. The aim of the present study was to assess severe acute pancreatitis (SAP) with Ranson score and CT scan.
MATERIAL AND METHOD
Between January 2000 and December 2005, all patients who had each of the following criteria (1) first-time diagnosis of acute pancreatitis, (2) acute pancreatitis as the primary admitting diagnosis and (3) contrasted-enhanced computed tomography (CE-CT) were retrospectively reviewed.
RESULTS
Ninety-eight patients that met the present study criteria were identified. Of these patients, 27 were defined as SAP by using Ranson criteria and/or CE-CT. Within SAP group, factors showing significance (p < 0.05) in the patients that had a Ranson score between > or = 3 and < 3 were age and biliary tract stone.
CONCLUSION
The incidence of severe acute pancreatitis in Srinagarind Hospital was 27.5%. Biliary disease and alcohol abuse together accounted for 81:48% of severe acute pancreatitis patients.
背景
重症急性胰腺炎是一个复杂且具有挑战性的问题。本研究的目的是用兰森评分和CT扫描评估重症急性胰腺炎（SAP）。
材料与方法
回顾性分析2000年1月至2005年12月期间符合以下所有标准的患者：（1）首次诊断为急性胰腺炎；（2）以急性胰腺炎作为主要入院诊断；（3）接受增强计算机断层扫描（CE-CT）。
结果
确定了98例符合本研究标准的患者。其中，27例根据兰森标准和/或CE-CT被定义为SAP。在SAP组中，兰森评分≥3分和＜3分的患者中具有显著意义（p＜0.05）的因素是年龄和胆道结石。
结论
诗里拉吉医院重症急性胰腺炎的发病率为27.5%。胆道疾病和酒精滥用共占重症急性胰腺炎患者的81.48%。
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