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急性胰腺炎是常见的急腹症,其总死亡率在40％左右。坏死性胰腺炎占急性胰腺炎的5～16％,其并发症多,预后凶险,早年的死亡率很高。近二十年来,急性胰腺炎的诊断和重症监护有了很大进步,使其总死亡率降至10％左右。有人指出,重症胰腺炎的判断是降低死亡率的关键。本文就这一问题作一文献综述。重症胰隙炎的临床判断指标 1974年,Ranson等人,根据病人入院时的11项指标判断重症胰腺炎,其标准被广为接受。此后Imrie,Romero,Jacobs,Osborne,Bank,Alexander等,各自都发表了自已的诊断标准。这些判断标准,
Acute pancreatitis is a common acute abdomen, with a total mortality of about 40%. Necrotic pancreatitis accounts for 5 to 16% of acute pancreatitis, its complications and prognosis dangerous, high mortality in early years. In the past 20 years, the diagnosis and intensive care of acute pancreatitis have made great progress, reducing the total death rate to about 10%. It was pointed out that the judgment of severe pancreatitis is the key to reducing mortality. This article makes a literature review of this issue. Severe pancreatitis clinical judgment index In 1974, Ranson et al., According to the patient admitted to the hospital to determine 11 indicators of severe pancreatitis, the standard is widely accepted. Since then, Imrie, Romero, Jacobs, Osborne, Bank, Alexander and others have published their own diagnostic criteria. These criteria,