急性胰腺炎的分类：现状
The classification of acute pancreatitis: Current status.
作者信息
Mao Liang, Qiu Yudong
机构信息
Department of Hepatobiliary Surgery, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China.
出版信息
Intractable Rare Dis Res. 2012 Aug;1(3):134-7. doi: 10.5582/irdr.v1.3.134.
Abstract
The Atlanta Classification of acute pancreatitis (AP) is widely accepted and has been used by physicians and radiologists since 1992. However, advances in knowledge of the disease process, improved imaging, and ever-changing treatment options have rendered some of its definitions ambiguous and highlighted the inadequacy of its classification of severity. This review discusses revision of the Atlanta Classification (2008) and it describes a new determinant-based classification (2012). In contrast to the Atlanta Classification, the revised version and new classification are based on evidence but still need to be developed through systematic review of new data and further international consultation.
摘要
急性胰腺炎（AP）的亚特兰大分类法被广泛接受，自1992年以来一直被医生和放射科医生使用。然而，疾病过程知识的进步、成像技术的改进以及不断变化的治疗选择使得其一些定义变得模糊，并凸显了其严重程度分类的不足。本综述讨论了亚特兰大分类法（2008年）的修订版，并描述了一种基于新决定因素的分类法（2012年）。与亚特兰大分类法不同，修订版和新分类法基于证据，但仍需要通过对新数据的系统综述和进一步的国际协商来完善。
相似文献
1
The classification of acute pancreatitis: Current status.急性胰腺炎的分类：现状
Intractable Rare Dis Res. 2012 Aug;1(3):134-7. doi: 10.5582/irdr.v1.3.134.
2
Clinical relevance of the revised Atlanta classification focusing on severity stratification system.聚焦严重程度分层系统的修订版亚特兰大分类法的临床相关性。
Pancreatology. 2014 Sep-Oct;14(5):324-9. doi: 10.1016/j.pan.2014.08.001. Epub 2014 Aug 19.
3
[Determinant-based classification of acute pancreatitis severity. International multidisciplinary classification of acute pancreatitis severity: the 2013 German edition].[基于决定因素的急性胰腺炎严重程度分类。急性胰腺炎严重程度的国际多学科分类：2013年德国版]
Z Gastroenterol. 2013 Jun;51(6):544-50. doi: 10.1055/s-0033-1335526. Epub 2013 Jun 5.
4
Determinant-based classification of acute pancreatitis severity: an international multidisciplinary consultation.基于标志物的急性胰腺炎严重程度分类：国际多学科会诊。
Ann Surg. 2012 Dec;256(6):875-80. doi: 10.1097/SLA.0b013e318256f778.
5
MR imaging for acute pancreatitis: the current status of clinical applications.急性胰腺炎的磁共振成像：临床应用现状
Ann Transl Med. 2019 Jun;7(12):269. doi: 10.21037/atm.2019.05.37.
6
Acute pancreatitis: an update on the revised Atlanta classification.急性胰腺炎：亚特兰大分类修订版的最新进展。
Abdom Radiol (NY). 2020 May;45(5):1222-1231. doi: 10.1007/s00261-019-02214-w.
7
[International multidisciplinary classification of acute pancreatitis severity: the 2013 Spanish edition].[急性胰腺炎严重程度的国际多学科分类：2013年西班牙版]
Med Intensiva. 2014 May;38(4):211-7. doi: 10.1016/j.medin.2013.03.013. Epub 2013 Jun 7.
8
The Atlanta Classification of acute pancreatitis revisited.急性胰腺炎的亚特兰大分类法再探讨。
Br J Surg. 2008 Jan;95(1):6-21. doi: 10.1002/bjs.6010.
9
Validation of the determinant-based classification and revision of the Atlanta classification systems for acute pancreatitis.基于分类的判定标准的确证和急性胰腺炎亚特兰大分类系统的修订。
Clin Gastroenterol Hepatol. 2014 Feb;12(2):311-6. doi: 10.1016/j.cgh.2013.07.042. Epub 2013 Aug 16.
10
Comparison Between Revised Atlanta Classification and Determinant-Based Classification for Acute Pancreatitis in Intensive Care Medicine. Why Do Not Use a Modified Determinant-Based Classification?重症医学中急性胰腺炎的修订版亚特兰大分类法与基于决定因素的分类法之比较。为何不采用改良的基于决定因素的分类法？
Crit Care Med. 2016 May;44(5):910-7. doi: 10.1097/CCM.0000000000001565.
引用本文的文献
1
Comparative Study Between Various Scoring Systems in Predicting the Severity of Acute Pancreatitis.多种评分系统在预测急性胰腺炎严重程度方面的比较研究
Cureus. 2025 May 13;17(5):e84004. doi: 10.7759/cureus.84004. eCollection 2025 May.
2
The positive effect of eugenol on acute pancreatic tissue injury: a rat experimental model.丁香酚对急性胰腺组织损伤的积极作用：大鼠实验模型。
Pan Afr Med J. 2021 Feb 5;38:132. doi: 10.11604/pamj.2021.38.132.20202. eCollection 2021.
本文引用的文献
1
Determinant-based classification of acute pancreatitis severity: an international multidisciplinary consultation.基于标志物的急性胰腺炎严重程度分类：国际多学科会诊。
Ann Surg. 2012 Dec;256(6):875-80. doi: 10.1097/SLA.0b013e318256f778.
2
Conceptual framework for classifying the severity of acute pancreatitis.用于分类急性胰腺炎严重程度的概念框架。
Clin Res Hepatol Gastroenterol. 2012 Aug;36(4):341-4. doi: 10.1016/j.clinre.2012.02.010. Epub 2012 Apr 30.
3
Global survey of controversies in classifying the severity of acute pancreatitis.全球范围内对急性胰腺炎严重程度分类争议的调查。
Eur J Gastroenterol Hepatol. 2012 Jun;24(6):715-21. doi: 10.1097/MEG.0b013e328351d340.
4
Infected pancreatic necrosis: not necessarily a late event in acute pancreatitis.感染性胰腺坏死：不一定是急性胰腺炎的晚期事件。
World J Gastroenterol. 2011 Jul 21;17(27):3173-6. doi: 10.3748/wjg.v17.i27.3173.
5
Update of the Atlanta Classification of severity of acute pancreatitis: should a moderate category be included?亚特兰大急性胰腺炎严重程度分类的更新：是否应包括中度类别？
Pancreatology. 2010;10(5):613-9. doi: 10.1159/000308795. Epub 2010 Oct 30.
6
Revising the Atlanta classification of acute pancreatitis: festina lente.修订急性胰腺炎的亚特兰大分类：欲速则不达。
J Gastrointest Surg. 2010 Sep;14(9):1474-5. doi: 10.1007/s11605-010-1269-9. Epub 2010 Jun 29.
7
Organ failure and infection of pancreatic necrosis as determinants of mortality in patients with acute pancreatitis.器官衰竭和胰腺坏死感染是急性胰腺炎患者死亡的决定因素。
Gastroenterology. 2010 Sep;139(3):813-20. doi: 10.1053/j.gastro.2010.06.010. Epub 2010 Jun 9.
8
Classification of the severity of acute pancreatitis: how many categories make sense?急性胰腺炎严重程度的分类：多少个类别才有意义？
Am J Gastroenterol. 2010 Jan;105(1):74-6. doi: 10.1038/ajg.2009.597. Epub 2009 Oct 20.
9
Low mortality and high morbidity in severe acute pancreatitis without organ failure: a case for revising the Atlanta classification to include "moderately severe acute pancreatitis".无器官功能衰竭的重症急性胰腺炎死亡率低但发病率高：修订亚特兰大分类以纳入“中度重症急性胰腺炎”的理由
Am J Gastroenterol. 2009 Mar;104(3):710-5. doi: 10.1038/ajg.2008.77. Epub 2009 Feb 3.
10
Acute pancreatitis.急性胰腺炎
Lancet. 2008 Jan 12;371(9607):143-52. doi: 10.1016/S0140-6736(08)60107-5.
Zotero 插件