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BISAP评分评估急性胰腺炎预后的临床研究
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Pancreatology
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.1674-1935.2016.01.012
- Key Word:
- No keyword available
Abstract： 急性胰腺炎(AP)是临床急腹症之一,主要表现为胰酶的激活及胰腺自身组织的消化,其中大约20％ ～ 30％[1-3]的患者可能进展为重症急性胰腺炎(SAP),出现胰腺坏死、器官功能衰竭等局部或全身并发症,严重者可能导致死亡,因此AP的早期评估显得尤为重要.目前常见的预测AP预后的评分系统包括Ranson评分、APACHEⅡ评分以及CTSI评分等[4-6],但这几项评分系统都有其局限性,APACHEⅡ评分项目较多,Ranson评分需要在入院48 h后才能完成,CTSI评分只针对胰腺局部评分,不能预测全身情况.2008年哈佛大学Wu等[7]提出了一种新的评分系统——急性胰腺炎严重程度床边指数(bedside index for the severity in acutepancreatitis,BISAP).本研究旨在探讨BISAP评分系统评估AP严重程度及预后的临床价值.
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