Agarwal N, Pitchumoni C S
Pancreas. 1986;1(1):69-73. doi: 10.1097/00006676-198601000-00013.
Simplified prognostic criteria (SPC) have been developed for evaluating patients with acute pancreatitis. The criteria based on easily measured biologic and clinical variables were evaluated on all 76 patients with acute pancreatitis treated over a 2-year period. Results were compared with Ranson's early objective sings. All the SPC within 48 h of admission correlated significantly (p less than 0.001) with increased incidence of complications. Of the 11 early objective signs only four--fall in hematocrit, serum calcium, PO2, and fluid sequestrations--were associated with significantly increased complications. The incidence of complications, 48%, seen in patients with one or more SPC was comparable to the 50% seen in patients with three or more Ranson's early objective signs. The results suggest that SPC is a simple, easily applicable gauge that gives valuable assessment of the severity of acute pancreatitis.
已制定简化预后标准（SPC）用于评估急性胰腺炎患者。在为期2年的时间里，对接受治疗的76例急性胰腺炎患者，基于易于测量的生物学和临床变量的标准进行了评估。将结果与兰森早期客观体征进行比较。入院48小时内的所有SPC与并发症发生率增加显著相关（p小于0.001）。在11项早期客观体征中，只有四项——血细胞比容下降、血清钙下降、动脉血氧分压下降和体液隔离——与并发症显著增加相关。出现一项或多项SPC的患者并发症发生率为48%，与出现三项或更多兰森早期客观体征的患者并发症发生率50%相当。结果表明，SPC是一种简单、易于应用的指标，可对急性胰腺炎的严重程度进行有价值的评估。
