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重症急性胰腺炎(severe acute pancreatitis.SAP)病情凶险而复杂,早期识别SAP对指导治疗、改善预后具有十分重要的意义。已有的APACHE-Ⅱ评分、Ranson评分虽有助于临床判断SAP,但完善评分需在48h后才能完成,无法应用于早期诊断、且Ranson评分标准中的液体丢失难以精确把握,敏感性、特异性均不高。本研究拟探讨C反应蛋白(C-reactive protein,CRP)、胸腔积液对SAP的早期识别作用。对象与方法
Severe acute pancreatitis (SARAP) is an extremely dangerous and complex disease. Early identification of SAP is of great significance for guiding treatment and improving prognosis. Although the existing APACHE-Ⅱscore and Ranson score are helpful for the clinical diagnosis of SAP, the perfect score can not be completed after 48h and can not be used in the early diagnosis, and the liquid loss in the Ranson score standard is difficult to be accurately grasped. Sensitivity and specificity Sex is not high. This study was to investigate the early recognition of SAP by C-reactive protein (CRP) and pleural effusion. Objects and methods