Role of C Reactive Protein Combined with Hematocrit in Early Prediction of Severe Acute Pancreatitis
- VernacularTitle:血清C反应蛋白联合红细胞压积对重症急性胰腺炎的早期预测价值
- Author:
Runhao CHEN
1
;
Bin ZHANG
;
Xiaoyan LI
;
Huayun ZHANG
;
Peilong SUN
;
Jianping YU
Author Information
1. 复旦大学附属金山医院普外科
- Keywords:
C reactive protein;
Hematocrit;
Acute pancreatitis
- From:
Chinese Journal of Clinical Medicine
2015;(6):715-717
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To explore the clinical value of serum C reactive protein (CRP) combined with hematocrit (Hct) in prediction of severe acute pancreatitis(SAP) .Methods :Seventy five patients ,who were admitted due to AP during April 2011 and December 2014 ,were enrolled .The levels of CRP and Hct ,which were determined within 24 h after admission ,were compared between the patients with SAP and those with mild acute pancreatitis (MAP) .The diagnostic efficiency of CRP combined with Hct in early prediction of SAP was evaluated by ROC curve .Results : The levels of CRP and Hct in SAP group were significantly higher than those in MAP group (P< 0 .05) .The sensitivities of CRP and Hct in the diagnosis of SAP were 61 .56% and 49 .57% ,respectively . The specificities were 83 .27% and 80 .23% ,respectively . And the positive predictive values were 53 .52% and 40 .35% ,respectively .Furthermore ,the negative predictive values were 90 .37% and 85 .26% , respectively .The sensitivity of CRP combined with Hct in diagnosis of SAP was 51 .23% .The specificity was 94 .29% .And the positive predictive value was 76 .12% . Furthermore , the negative predictive value was 87 .23% . Conclusions : CRP combined with Hct is conducive to early diagnosis of the severity of AP .Thus ,it is worthy of clinical practice .
