APACHE Ⅲ评分系统与急性重症胰腺炎预后的关系

Relationship between APACHE Ⅲ Score and Prognosis of Severe Acute Pancreatitis

目的探讨急性生理功能和慢性健康状况评估Ⅲ(APACHEⅢ)评分与急性重症胰腺炎(SAP)预后的关系。方法回顾性分析62例SAP病人的临床资料,根据APACHEⅢ评分与器官功能障碍、局部并发症、病死率的关系,估计SAP预后。结果行非手术治疗42例,手术治疗20例。治愈51例,死亡11例,病死率17.7%。按入院时APACHEⅢ评分<60、≥60分组,后者并发症、病死率高于前者(P<0.05)。结论APACHEⅢ评分既可判断SAP病情轻重,又能估计预后。

Objective To investigate the relationship between Acute Physiology and Chronic Health Evaluation（APACHE）Ⅲ score and the prognosis of severe acute pancreatitis（SAP）. Methods The clinical data of 62 patients with SAP were retrospectively analyzed. Its prognosis was estimated by using the relationship between APACHE Ⅲ score and the followings including organ dysfunctions,local complications and mortality. Results In all 62 patients,20 cases did not undergo surgery,while 42 cases accepted surgery,and 51 cases were cured and 11 cases died. The mortality was 17.7%. All patients were divided,by using the APACHE Ⅲ score on admission,into the group of the score 〈 60 and the group of the score≥60. The complications and mortality of the latter were higher than those of the former（P〈 0.05 ）. Conclusion APACHE Ⅲ score is correlated to the severity and prognosis of SAP.