Yılmaz Eyüp Murat, Cartı Erdem Barış
Department of General Surgery, Adnan Menderes University Faculty of Medicine, Aydın-Turkey.
Ulus Travma Acil Cerrahi Derg. 2017 Jul;23(4):301-305. doi: 10.5505/tjtes.2016.00701.
Acute mesenteric ischemia (AMI) is a disease that has a very high mortality rate and for which the diagnosis is frequently delayed. The aim of the present study was to assess the predictive value of the Mannheim Peritonitis Index (MPI) and platelet-to-lymphocyte (P/L) ratio in the prognosis of AMI.
The files of 34 patients diagnosed with AMI between September 2014 and April 2016 were retrospectively examined. The patients were divided into 2 groups based on survival. The parameters of MPI and P/L ratio, demographic data, and duration of hospitalization were recorded and compared.
In all, 19 (55.9%) patients were male, and 15 (44.1%) were female. Total of 19 patients (55.9%) were discharged with a complete recovery, while 15 (44.1%) died. MPI mean value was 21.13±7.55 and 16.00±5.24 in those who died and survived, respectively (p=0.026). P/L ratio was 288.48±233.01 and 373.82±389.62 in those who survived and died, respectively (p=0.045).
MPI and P/L ratio are simple and reliable methods to predict the prognosis of AMI.
急性肠系膜缺血（AMI）是一种死亡率极高且诊断常被延误的疾病。本研究的目的是评估曼海姆腹膜炎指数（MPI）和血小板与淋巴细胞比值（P/L）对AMI预后的预测价值。
回顾性分析2014年9月至2016年4月间34例诊断为AMI患者的病历。根据生存情况将患者分为两组。记录并比较MPI和P/L比值参数、人口统计学数据及住院时间。
总共19例（55.9%）患者为男性，15例（44.1%）为女性。19例（55.9%）患者完全康复出院，15例（44.1%）死亡。死亡患者和存活患者的MPI平均值分别为21.13±7.55和16.00±5.24（p=0.026）。存活患者和死亡患者的P/L比值分别为373.82±389.62和288.48±233.01（p=0.045）。
MPI和P/L比值是预测AMI预后的简单可靠方法。
