Application of dynamic APACHEⅡscore and POSSUM score in patients with severe acute pancreatitis
10.3760/cma.j.issn.1008-6706.2009.02.017
- VernacularTitle:两种评分方法在重症急性胰腺炎患者治疗中的应用
- Author:
Weidong ZHU
;
Weiye GAO
;
Manyue ZHENG
;
Yaoqu ZHONG
;
Chaoqun HUANG
- Publication Type:Journal Article
- Keywords:
Pancreatitis,acute necrotizing;
Acute physiological and chronical health evaluation(APACHE)H;
Physiological and operative severity score for enumeration of mortality and morbidity(POSSUM)
- From:
Chinese Journal of Primary Medicine and Pharmacy
2009;16(2):225-226
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the value of combining the physiological and operative severity score for enumeration of mortality and morbidity(POSSUM)and acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ)in severe acute pancreatitis(sAP).Methods 60 cases of SAP were divided into surgery group(n=15)and non-surgical group(n=45),Non-surgical group was vahde with APACHE Ⅱ score,the surgery group with POSSUM score,decided to continue conservative treatment or surgery treatment,Observation of two ways with the complications and death.Results The rates of compHcafions and death were(0.37±0.08)and(0.27±0.09)in Single-operation group(n=15)higher than(0.76±0.14)and(0.61±0.15)in surgical group(n=11)(t1=3.125,t2=3.211,P＜0.01);APACHEⅡ score of mortality in operation group and non-surgical group were no significant difference(x2=2.28,x2=1.98,P＞0.05);APACHE Ⅱ score were(10.12±6.27)in survival group(n=46)were lower than (25.75±7.90)in death group(n=14)(t=2.525,P＜0.05.Conclusion The score of dynamic APACHE Ⅱ has better effect to judge the timing of surgery,and the score of POSSUM has high value to predict post-operative complications and deaths occurred in patients with severe acute pancreatitis.
