摘要
目的:国内指南普遍不强调全身炎性反应综合征(SIRS)在预测重度急性胰腺炎(SAP)中的应用,本研究通过SIRS预测SAP的资料回顾分析以引起重视。方法:根据亚特兰大急性胰腺炎分类2012更新为标准,回顾分析2013年1月1日~2014年12月31日收治的急性胰腺炎,计算入院48 h内SIRS阳性预测SAP的敏感性、特异性、阳性预测值和阴性预测值。结果:2年间共收治急性胰腺炎497例,轻、中、重病例入院48h之内SIRS阳性率分别为9.3%(15/161)、26.1%(72/276)、90.0%(54/60),SAP患者一周内全部呈阳性;早期SIRS阳性预测SAP的敏感性90.0%、特异性80.1%、阳性预测值38.3%,阴性预测值98.3%。结论:简单易行SISR是预测SAP的优秀指标。
Objective Systemic inflammatory response syndrome （SIRS） as an predictive index for severe acute pancreatitis （SAP） was not emphasized in the national guidelines of clinical practice. The aim of this study was to evaluate SIRS to predict SAP. Method This was a retrospective study. Using Atlanta classification update 2012 as standard criteria, review of acute pan-creatitis from January,2013 to December 31 ,2014, the sensitivity, specificity, positive predictive value and negative predictive value of SIRS positive predictive SAP were calculated for 48 h. Results A total of 497 cases of acute pancreatitis was included in the 2 year period. Positive SIRS within 48 h hours after admission were 9. 3 % （15/161） in mild acute pancreatitis, 26. 1 （ 72/ 276） in moderate severity cases,and 90. 0% （52 / 60） in SAP, respectively. All patients with SAP were SIRS positive within a week after repectively, with positive predictive value of 38. 3% ,the negative predictive value of 98. 3% Conclusion The simple SIRS is an excellent predictor of SAP with extremly high of negative predictive value.
出处
《吉林医学》
CAS
2017年第6期1022-1024,共3页
Jilin Medical Journal
