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急性胰腺炎及其在年轻人中的严重程度预测:一例报告

Acute Pancreatitis and Prognosticating Its Severity in Young Adults: A Case Report.

作者信息

Vest Mallorie, Grewal Harneet, Shaukat Tanveer, Landry Ian, Nso Nso, O'Connor James, Rizzo Vincent

机构信息

Internal Medicine, Icahn School of Medicine at Mount Sinai, NYC (New York City) Health and Hospitals/Queens, New York City, USA.

Internal Medicine, St. Georges University School of Medicine, St. Georges, GRD.

出版信息

Cureus. 2022 Mar 1;14(3):e22749. doi: 10.7759/cureus.22749. eCollection 2022 Mar.

Abstract

Acute pancreatitis develops into mild acute, moderately severe, and severe forms in multiple clinical scenarios. The severity assessment of pancreatitis relies on various scoring systems, including CT Severity Index (CTSI), Multiple Organ Dysfunction Syndrome (MODS), Acute Physiology and Chronic Health Evaluation II (APACHE-II), Bedside Index for Severity in Acute Pancreatitis (BISAP), Systemic Inflammatory Response Syndrome (SIRS), Multiple Organ System Score (MOSS), Glasgow score, and Ranson's Criteria (RC). This case report corresponds to a 20-year-old male with acute pancreatitis of unknown etiology. The RC scoring method produced two points, which could not prognosticate the possible severity of acute pancreatitis in the young patient. The hospital course included intubation with mechanical ventilation and ICU management.

摘要

急性胰腺炎在多种临床情况下会发展为轻度急性、中度重症和重症形式。胰腺炎的严重程度评估依赖于多种评分系统,包括CT严重指数(CTSI)、多器官功能障碍综合征(MODS)、急性生理与慢性健康状况评估II(APACHE-II)、急性胰腺炎严重程度床边指数(BISAP)、全身炎症反应综合征(SIRS)、多器官系统评分(MOSS)、格拉斯哥评分和兰森标准(RC)。本病例报告的患者为一名20岁男性,患有病因不明的急性胰腺炎。RC评分方法得分为2分,无法预测该年轻患者急性胰腺炎可能的严重程度。其住院过程包括机械通气插管和重症监护病房管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1619/8971073/109e2f5e8058/cureus-0014-00000022749-i01.jpg

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