Dammann H G, Döpner M, von Wichert P, Harders H
Zentralbl Chir. 1981;106(3):154-60.
In this retrospective study the prognostic significance of 5 laboratory parameters in a low and high range (LDH) greater than or equal to 450 and 600 U/l, calcium less than or equal to 2.2 and 2.0 mmol/l, bloodglucose greater than or equal to 160 and 240 mg/dl, creatinine greater than or equal to 1.5 and 2.0 mg/dl, BUN greater than or equal to 25 and 40 mg/dl) and the patient's age was determined in 298 cases at the first attack of acute pancreatitis. The laboratory parameters were determined on the day of admission. The results presented in this study allow 2 major conclusions: 1. both the low and the high range laboratory parameters are potent indices in predicting a high risk group of patients very early. 2. a higher specificity is achieved by these high range parameters.
在这项回顾性研究中,对298例急性胰腺炎首次发作的患者,测定了5项实验室参数处于低范围和高范围时(乳酸脱氢酶[LDH]≥450和600 U/l、钙≤2.2和2.0 mmol/l、血糖≥160和240 mg/dl、肌酐≥1.5和2.0 mg/dl、血尿素氮≥25和40 mg/dl)以及患者年龄的预后意义。这些实验室参数在入院当天测定。本研究呈现的结果可得出两个主要结论:1. 低范围和高范围的实验室参数都是非常早期预测高危患者群体的有效指标。2. 这些高范围参数具有更高的特异性。