重症急性胰腺炎预后评估综述

Summary of Prognosis of Severe Acute Pancreatitis

令人谈之色变的重症急性胰腺炎(SAP)究其原因在于飞速进展、凶险预后、高死亡率等特点。通过对SAP病理生理机制的不断研究,明确了早期诊断及准确评估SAP患者病情变化和预后的重要性。目前临床上常通过患者的临床表现、实验室检测及影像学检查等手段结合相关评分系统进行系列评估,进而对SAP患者病情及预后作出快速准确的判断。本文就SAP相关影响参数进行多方面研究。

The discomfiting severe acute pancreatitis (SAP) is characterized by its rapid progression, danger-ous prognosis and high mortality. Through the continuous study of the pathophysiological mecha-nism of SAP, the importance of early diagnosis and accurate assessment of the disease changes and prognosis of SAP patients was clarified. At present, patients’ clinical manifestations, laboratory tests and imaging examinations are often combined with relevant scoring systems to conduct a series of assessments, so as to make a rapid and accurate judgment on the condition and prognosis of SAP patients. In this paper, the influence parameters of SAP are studied in many aspects.