预测急性胰腺炎严重程度的评分系统及生物标志物

被引:27
|
作者
陈方莹
柏小寅
吴东
机构
[1] 中国医学科学院北京协和医学院北京协和医院消化内科
关键词
重症急性胰腺炎; 预后指标;
D O I
暂无
中图分类号
R576 [胰腺疾病];
学科分类号
摘要
重症急性胰腺炎具有高病死率、高并发症率的特点。通过对急性胰腺炎严重程度的预测, 有助于早期识别可能发展为重症胰腺炎的患者, 在此基础上及时转诊和干预, 从而改善预后、降低费用。目前关于急性胰腺炎的预后指标包括急性生理与慢性健康评分Ⅱ(APACHE Ⅱ)、Ranson评分、胰腺炎活动度评分系统(PASS)、日本严重度评分(JSS)、Glasgow评分等多因素评分系统, 以及髓系细胞触发受体-1(TREM-1)、降钙素原(PCT)、C反应蛋白(CRP)、血尿素氮(BUN)、血清肌酐(SCr)等单因素预后指标。本讲座将介绍各类预后指标的适用范围和优缺点, 从而为临床应用提供参考。
引用
收藏
页码:615 / 619
页数:5
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共 27 条
  • [1] 急性胰腺炎的液体治疗:复苏时机、液体种类及监测方法
    吴东
    钱家鸣
    [J]. 临床肝胆病杂志, 2017, 33 (01) : 12 - 16
  • [2] Hemoconcentration is a poor predictor of severity in acute pancreatitis[J]. José M.Remes-Troche,Andrés Duarte-Rojo,Gustavo Morales,Guillermo Robles-Díaz.World Journal of Gastroenterology. 2005(44)
  • [3] BISAP, RANSON, lactate and others biomarkers in prediction of severe acute pancreatitis in a European cohort[J] . Francisco Valverde‐López,Ana M Matas‐Cobos,Carlos Alegría‐Motte,Rita Jiménez‐Rosales,Margarita úbeda‐Mu?oz,Eduardo Redondo‐Cerezo.Journal of Gastroenterology and Hepatology . 2017 (9)
  • [4] High-Density Lipoprotein Cholesterol, Blood Urea Nitrogen, and Serum Creatinine Can Predict Severe Acute Pancreatitis[J] . Wandong Hong,Suhan Lin,Maddalena Zippi,Wujun Geng,Simon Stock,Vincent Zimmer,Chunfang Xu,Mengtao Zhou,Valeria Rolla.BioMed Research International . 2017
  • [5] Predictors of severe and critical acute pancreatitis: a systematic review[J] . Catherine J. Yang,Joseph Chen,Anthony R.J. Phillips,John A. Windsor,Maxim S. Petrov.Digestive and Liver Disease . 2014
  • [6] Japanese severity score for acute pancreatitis well predicts in-hospital mortality: a nationwide survey of 17,901 cases[J] . Tsuyoshi Hamada,Hideo Yasunaga,Yousuke Nakai,Hiroyuki Isayama,Hiromasa Horiguchi,Kiyohide Fushimi,Kazuhiko Koike.Journal of Gastroenterology . 2013 (12)
  • [7] Comparison of Ranson, Glasgow, MOSS, SIRS, BISAP, APACHE-II, CTSI Scores, IL-6, CRP, and Procalcitonin in Predicting Severity, Organ Failure, Pancreatic Necrosis, and Mortality in Acute Pancreatitis[J] . Ajay K. Khanna,Susanta Meher,Shashi Prakash,Satyendra Kumar Tiwary,Usha Singh,Arvind Srivastava,V. K. Dixit,Attila Olah.HPB Surgery . 2013
  • [8] Bedside index for severity in acute pancreatitis:comparison with other scoring systems in predicting severity and organ failure
    Ji Young Park
    Tae Joo Jeon
    Tae Hwan Ha
    Jin Tae Hwang
    Dong Hyun Sinn
    Tae-Hoon Oh
    Won Chang Shin
    Won-Choong
    [J]. Hepatobiliary&PancreaticDiseasesInternational, 2013, 12 (06) : 645 - 650
  • [9] The Harmless Acute Pancreatitis Score: A Clinical Algorithm for Rapid Initial Stratification of Nonsevere Disease[J] . Paul Georg Lankisch,Bettina Weber–Dany,Kathrin Hebel,Patrick Maisonneuve,Albert B. Lowenfels.Clinical Gastroenterology and Hepatology . 2009 (6)
  • [10] The value of procalcitonin at predicting the severity of acute pancreatitis and development of infected pancreatic necrosis: Systematic review[J] . Reza Mofidi,Stuart A. Suttie,Pradeep V. Patil,Simon Ogston,Rowan W. Parks.Surgery . 2009 (1)