Horzić M, Bunoza D, Marić K
University Department of Surgery, Dubrava University Hospital, Zagreb.
Acta Med Croatica. 1997;51(1):49-52.
The aim of the study was to investigate reliability of Ranson's prognostic factors in our 43 patients with acute pancreatitis during a ten year period (1984-1993). Based on the retrospective analysis and Ranson's prognostic factors, the patients were divided into groups and severe form of pancreatitis. The patients with less than 3 prognostic factors were classified into the mild form group. The patients who had 3 or more Ranson's factors were considered as having the severe form of the disease. Sixty percent of the patients with severe form of the disease survived. All the patients who died (2 females and 7 males) had more than 6 Ranson's prognostic factors and died within 15 days from admission to hospital. Of the patients who died, eight had been operated on for multiorgan injury. None of the patients with mild form of the disease died. The prognosis of the outcome of pancreatitis with severe complications and of death mode, on the basis of Ranson's factors, was found to be more certain when more factors were present.
本研究的目的是调查1984年至1993年这十年间，我们收治的43例急性胰腺炎患者中兰森预后因素的可靠性。基于回顾性分析和兰森预后因素，将患者分为轻度胰腺炎组和重度胰腺炎组。预后因素少于3个的患者被归为轻度组。有3个或更多兰森因素的患者被认为患有重度胰腺炎。重度胰腺炎患者中有60%存活。所有死亡患者（2名女性和7名男性）有超过6个兰森预后因素，且在入院后15天内死亡。在死亡患者中，8例因多器官损伤接受了手术。轻度胰腺炎患者无一死亡。基于兰森因素，发现胰腺炎严重并发症的预后和死亡方式，在存在更多因素时更具确定性。
