急性胰臟炎嚴重度早期評估指引

The Early Diagnosis of Severity on Acute Pancreatitis

盧瑞華(Jui-Hua Lu)

《長庚科技學刊》 7期 (2007/12) Pp. 65-74

https://doi.org/10.6192/CGUST.2007.12.7.6

摘要

Up to 25% acute pancreatitis patients may turn to severe life threatening condition. The mortality rate ranges from 3% up to 31%. Early screen patients at risk of developing critical condition remain important issue in the clinical practice. Ranson's Score, Modified Glasgow Criteria, laboratory test C-reactive protein and CT scan can determine severity in patients with acute pancreatitis. However, the previously mentioned score need to wait for 48 hours and the CT scan will increase the health care cost. It is suggest to use the APACHE-II score ＞7 and laboratory test IL-6＞400 pg/ml at the time of hospital admission as a early prediction. Those information can provide a professional update for this potentially complex situation and thus offer appropriate support to promote future health.

關鍵字

急性胰臟炎 ； 疾病嚴重度評估

並列摘要

Up to 25% acute pancreatitis patients may turn to severe life threatening condition. The mortality rate ranges from 3% up to 31%. Early screen patients at risk of developing critical condition remain important issue in the clinical practice. Ranson's Score, Modified Glasgow Criteria, laboratory test C-reactive protein and CT scan can determine severity in patients with acute pancreatitis. However, the previously mentioned score need to wait for 48 hours and the CT scan will increase the health care cost. It is suggest to use the APACHE-II score ＞7 and laboratory test IL-6＞400 pg/ml at the time of hospital admission as a early prediction. Those information can provide a professional update for this potentially complex situation and thus offer appropriate support to promote future health.

並列關鍵字

Acute pancreatitis ； Ranson's score ； Modified Glasgow criteria ； APACHE-Ⅱ