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Value of APACHE Ⅱ scoring system in predicting the prognosis of severe acute pancreatitis

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Author:
No author available
Journal Title:
WORLD CHINESE JOURNAL OF DIGESTOLOGY
Issue:
7
DOI:
10.3969/j.issn.1009-3079.2008.07.023
Key Word:
重症急性胰腺炎;APACHE Ⅱ评分系统;预后

Abstract: 目的:探讨急性生理和慢性健康状况评分(APACHE Ⅱ)系统对重症急性胰腺炎(SAP)患者预后评估的价值.方法:回顾2004-2007年四川大学华西医院收治的SAP患者300例临床资料.进行APACHEⅡ评分,分析各个结局的APACHEⅡ评分,计算入院后d 1、3、7的评分与对应的病死率并进行相关分析,APACHEⅡ评分以8,9,10,11分为临界值时对死亡的预测结果.结果:死亡和胰腺局部并发症患者APACHEⅡ评分与治愈患者评分相比有差异(P=0和0.001<0.01),随着APACHEⅡ评分增加,病死率亦随之增加.患者d 1、3、7的评分和病死率均呈正相关,d 3患者的评分值高低与死亡相关性最高.24 h APACHEⅡ评分10分为临界点时对评估SAP患者预后效果最佳.

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