PROGNOSIS OF ACUTE-PANCREATITIS - RANSON OR APACHE-II

被引：0

作者：

COTORE, JPP ^{[1
]}

MONTALVO, MB ^{[1
]}

RODRIGUEZ, EF ^{[1
]}

DOMINGUEZ, EV ^{[1
]}

LESQUEREUX, JP ^{[1
]}

机构：

[1] UNIV SANTIAGO DE COMPOSTELA,HOSP GEN GALICIA,FAC MED,SERV CIRUGIA GEN,SANTIAGO,SPAIN

来源：

REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS | 1995年 / 87卷 / 02期

关键词：

ACUTE PANCREATITIS; APACHE II; RANSON CRITERIA; MULTIFACTORIAL PROGNOSTIC SYSTEMS;

D O I：

暂无

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Objective: The aim of this paper is to determine which is the best early prognostic score in acute pancreatitis among those we have studied. Design: Prospective study of acute pancreatitis cases during a 5 year period. Patients: 113 patients, biliary etiology in 93 cases, (average age: 63 years) and 66% females. The diagnostic accuracy of Ranson, Imrie, Osborne and apache II scores was analyzed. Results: There were complications in 12%, and mortality was 8%. Among all the systems analized the Ranson criteria achieved the highest sensitivity (79%), although sensitivity was improved with Apache II at admission to the hospital (86%). We have obtained the best specificity with the Apache II (89%) and with the Osborne criteria (88%). The modification of Ranson's criteria for biliary etiology didn't improve the sensitivity (56%) to detect severe cases of acute pancreatitis. Conclusions: The Apache II system was the best for the early detection of severe acute pancreatitis. Its diagnostic sensitivity was higher than the multiple laboratory criteria analyzed.

引用

页码：121 / 126

页数：6