重症急性胰腺炎实验室检测指标的研究进展

Advance in laboratory markers of acute severe pancreatitis

急性胰腺炎(acute pancreatitis,AP)是消化系临床常见急腹症之一,临床上分为轻症急性胰腺炎(mild acute pancreatitis,MAP)和重症急性胰腺炎(severe acute pancreatitis,SAP).用于判断AP严重程度的方法很多,包括各种评分系统、生化指标以及影像学方法等.近年来研究发现AP患者血清/血浆中的某些指标可以判断病情的严重程度,提示并发症的发生,其中包括急性期反应蛋白、细胞因子、酶及其活化肽以及降钙素前体等.本文就关于SAP的实验室检测指标的研究进展作一综述.

Acute pancreatitis （AP） was one of common acute abdominal diseases in digestive system, and it was divided into mild type and severe type. Many methods were used to judge the severity of AP, including all kinds of scoring system, biochemical indexes, and imaging methods. Recent researches found that some serum indexes such as cytokines, enzymes, acute reactive proteins, active peptides and procalcitonin could classify the severity of AP and judge the risks of complications. This article reviews the progress in the laboratory markers of severe AP.