Ostrovskiĭ V K, Rodionov P N, Makarov S V
Kafedra obshcheĭ i operativnoĭ khirurgii meditsinskogo fakul'teta Ul'ianovskogo gosudarstvennogo universiteta.
Khirurgiia (Mosk). 2011(8):58-60.
Investigation of white blood cell and lymphocyte concentration and white blood cell intoxication index (WBCII), integral systems APACHE II and Ranson reliably reflected the severity of clinical status in patients with acute pancreatitis and had prognostic value. At the same time white blood cell concentration and indices of APACHE II reflected to lesser extent the severity of clinical status, and white blood cell concentration didn't have any prognostic value. Application of lymphocyte concentration and WBCII can be recommended in urgent surgery for evaluation of clinical status and prognosis at early stages of diagnostics and treatment of acute pancreatitis.
对白细胞和淋巴细胞浓度以及白细胞中毒指数(WBCII)的研究、APACHE II和Ranson积分系统能够可靠地反映急性胰腺炎患者临床状态的严重程度,并具有预后价值。同时,白细胞浓度和APACHE II指数在较小程度上反映了临床状态的严重程度,且白细胞浓度不具有任何预后价值。在急性胰腺炎诊断和治疗的早期阶段,推荐应用淋巴细胞浓度和WBCII来评估临床状态和预后,以用于紧急手术。