BISAP评分系统对重症急性胰腺炎的评估价值 |
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引用本文: | 胡瑞瑞,张琪,田字彬,孔心涓,薛会光,魏良洲,赵清喜.BISAP评分系统对重症急性胰腺炎的评估价值[J].中华胰腺病杂志,2011,11(4). |
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作者姓名: | 胡瑞瑞 张琪 田字彬 孔心涓 薛会光 魏良洲 赵清喜 |
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作者单位: | 青岛大学医学院附属医院消化内科,青岛,266003 |
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摘 要: | 目的 探讨新型BISAP评分体系(bedside index for severity in AP)对重症急性胰腺炎(SAP)的评估价值。方法 选取临床拟诊为SAP的患者68例,分别进行BISAP、APACHEⅡ、Ranson以及CTSI评分。BISAP评分标准包括患者入院24h内的尿素氮水平、受损精神状态、全身炎症反应综合征、年龄、胸腔积液5项内容。以BISAP≥3分、APACHEⅡ≥8分、Ranson≥3分、CTSI≥3分为SAP的评估标准,分析这几种评分系统评估SAP的正确率。结果 68例患者中,BISAP≥3分者43例,占63.2%;APACHEⅡ≥8分者41例,占60.3%;Ranson≥3分者41例,占60.3%;CTSI≥3分者46例,占67.6%。BISAP评分系统与APACHEⅡ评分系统、Ranson评分系统以及CTSI评分系统比较,评估SAP的正确率均无显著性统计学差异。结论 BISAP评分系统作为一种新型的、简便的评分体系可推广应用于SAP的评估。
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关 键 词: | 胰腺炎,急性坏死性 损伤严重度评分 BISAP评分 APACHEⅡ评分 Ranson 评分 CTSI评分 |
Value of bedside index for severity in acute pancreatitis scoring system in diagnosing severe acute pancreatitis |
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Authors: | HU Rui-rui ZHANG Qi TIAN Zi-bin KONG Xin-juan XUE Hui-guang WEI Liang-zhou ZHAO Qing-xi |
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Abstract: | Objective To evaluate the value of the Bedside Index for Severity in Acute Pancreatitis (BISAP) in diagnosing severe acute pancreatitis. Methods Sixty-eight patients with suspected diagnosis of severe acute pancreatitis were collected and were scored by BISAP, APACHE Ⅱ , Ranson and CTSI scoring systems, respectively. BISAP scoring system included the blood urea nitrogen, impaired mental status,systemic inflammatory response syndrome, age, and pleural effusion. The diagnosis criteria of severe acute pancreatitis was BISAP ≥ 3 points or APACHE IⅡ ≥ 8 points, Ranson ≥ 3 points, CTSI ≥ 3 points. The diagnostic accuracy of SAP of these scoring systems was calculated. Results Among these 68 cases, 63.2%(43/68) were graded ≥ 3 points in BISAP scoring system;60.3% (41/68) were marked ≥8 points in APACHE Ⅱ scoring system; 60.3% (41/68) were scored ≥ 3 points in Ranson scoring system; and 67.6%(46/68) were scored ≥3 points in CTSI scoring system. There was no statistical difference between BISAP scoring system and other three scoring systems in diagnosing severe acute pancreatitis. Conclusions As a new and simple scoring system, BISAP scoring system can be widely used in the diagnosis of severe acute pancreatitis. |
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Keywords: | Pancreatitis acute necrotizing Injury severity score BISAP points-scoring system APACHE Ⅱ points-scoring system Ranson points-scoring system CTSI points-scoring system |
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