Ostrovskiĭ V K, Rodionov P N, Makarov S V
Anesteziol Reanimatol. 2012 May-Jun(3):56-9.
The aim of the research is to improve diagnosis and assessment of severity and prognosis with different forms of acute pancreatitis. In 79 patients were studied levels of leukocytes, lymphocytes, leucocyte intoxication index (LII), the content of lactate dehydrogenase (LDG), creatinephosphokinase (CPK), amylase, aspartate aminotransferase (AST, alanine aminotransferase (ALT).
The level of leukocytes reflects the severity of the disease, but had no prognostic value. The level of lymphocytes, LII. LDG and lipase reflect the severity, of the disease and have prognostic value. The level of amylase, AST, ALT, CPK not always reflect the severity of the disease, but had prognostic value.
The most readily available to assess the severity and prognosis in acute pancreatitis are the level of blood lymphocytes and LII. Indicators LDG. CPK, amylase, lipase, AST and ALT also reflect the course and prognosis of the disease.
本研究的目的是改善不同类型急性胰腺炎的诊断、严重程度评估及预后评估。对79例患者的白细胞、淋巴细胞、白细胞中毒指数(LII)、乳酸脱氢酶(LDG)、肌酸磷酸激酶(CPK)、淀粉酶、天冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)水平进行了研究。
白细胞水平反映疾病严重程度,但无预后价值。淋巴细胞水平、LII、LDG和脂肪酶反映疾病严重程度且具有预后价值。淀粉酶、AST、ALT、CPK水平并不总是反映疾病严重程度,但具有预后价值。
评估急性胰腺炎严重程度和预后最容易获得的指标是血淋巴细胞水平和LII。LDG、CPK、淀粉酶、脂肪酶、AST和ALT指标也反映疾病进程和预后。