Diagnosis, treatment and prognosis of patients with acute pancreatitis
10.3760/cma.j.issn.1007-8118.2016.10.018
- VernacularTitle:急性胰腺炎患者的诊治及预后
- Author:
Jian LIU
;
Fei LI
- Publication Type:Journal Article
- Keywords:
Acute pancreatitis;
Revised Atlanta classification;
Moderately severe acute pancreatitis;
Severe acute pancreatitis;
Mortality;
Local complication
- From:
Chinese Journal of Hepatobiliary Surgery
2016;22(10):714-718
- CountryChina
- Language:Chinese
-
Abstract:
Acute Pancreatitis Classification Working Group published Classification of Acute Pancreatitis-2012:Revision of the Atlanta Classification and Definitions by International Consensus in 2012,which redefined the diagnosis,severity,local complication,local infection of acute pancreatitis (AP).Under the guidance of revised Atlanta classification (RAC),the constituent ratio of severe acute pancreatitis (SAP) decreases significantly,which is between 3.7％ ～ 25.4％,and less than 10.0％ is reported in most researches.The mortality of SAP is between 10.0％ ～ 52.9％,and more than 20％ is observed in most publications.The constituent ratio of mild severe acute pancreatitis (MSAP) is between 10.9％ ～ 40.1％,the mortality is between 0 ～ 4.8％,and the incidence rate of organ failure is between 4.6％ ～ 34.0％.The percentage of patients with SAP who need ICU care and surgery intervention is higher than that of MSAP,and the total hospital stay of SAP are longer than that of MSAP.RAC could better reflect the severity and predict the outcome of AP than Atlanta classification published in 1992,but RAC also has some potential limitations.For example,the “local infection” is not included in this classification.This paper veviewed the relavent issues.
