期刊文献+

胸腔积液对重症急性胰腺炎评估的临床价值 被引量:2

Clinical Value of Pleural Effusion on Severe Acute Pancreatitis
下载PDF
导出
摘要 【目的】评估胸腔积液对重症急性胰腺炎早期识别的临床价值。【方法】对107例我院2005年1月至2006年1月急性胰腺炎住院患者入院24h内胸腔积液与重症急性胰腺炎的关系进行回顾性分析,以有胸腔积液者作为重症急性胰腺炎的判断标准,计算预测重症急性重症胰腺炎的敏感性、特异性、阳性预测值、阴性预测值。【结果】胸腔积液判断重症急性胰腺炎的敏感性、特异性、阳性预测值、阴性预测值分别达74.29%、93.06%、85.29%和88.16%。【结论】胸腔积液判断重症急性胰腺炎有较高的敏感性、特异性、阳性预测值和阴性预测值,可作为重症急性胰腺炎的早期预测指标。 [Objective] To investigate and compare the clinical value of pleural effusion on severe acute pancreatitis(SAP). [Methods] One hundred and seven patients suffering from acute pancreatitis (AP) from January 2005 to January 2006 in our hospital were studied. Patients who had the symptom of pleural effusion were classified as severe acute pancreatitis. The sensitivity, specificity, positive and negative predictive value of pleural effusion were calculated and analyzed. [Results] The sensitivity, specificity, positive and negative predictive value calculated were 74.29%, 93.06%, 85.29% and 88. 16% respectively. [Conclusion] Pleural effusion could be used as a predictive index of SAP at an early stage.
机构地区 苏北人民医院
出处 《医学临床研究》 CAS 2007年第12期2120-2121,共2页 Journal of Clinical Research
关键词 胰腺炎 急性坏死性 胸腔积液 pancreatitis,acute necrotizing pleural effusion
  • 相关文献

参考文献9

二级参考文献20

  • 1齐清会,张武刚,鲁淑英.重型胰腺炎高危因素和预后[J].中华消化杂志,1995,15(6):364-366. 被引量:8
  • 2姚榛祥,吴凯南.急性胰腺炎的类型和预后的判断[J].中华外科杂志,1989,27(5):264-266. 被引量:5
  • 3张延龄.APACHE疾病严重度评分、监护质量与预后判断[J].中国实用外科杂志,1996,16(12):709-711. 被引量:16
  • 4Pezzilli R, Morselli-Labate AM. Hematocfit dwrwemination(HCT) as an early marke associated with necrotizing pancreatitis and organ failure. Pancreas,2001,22(4) :433-435.
  • 5Baillargeon JD, Orav J, Ramagopal V, et al. Hemoconcentration as an early risk factor for necrotizing pancreatitis. Am J Gastroenterol, 1998,93 ( 1 ) :2130-2134.
  • 6Lankisch PC., Mahlke R, Blum T, et al. Hemoconcentration : an early marker of severe and/or necrotizing pancreatits? A critical appraisal. Am J Gastroenterol, 2001,96 ( 7 ) : 2081-20195.
  • 7Baron TH. Predicting the severity of acute pancreatitis : is it time to concentrate on the hematocrit? Am J Gastroenterol,2001,96(7) :1960-1961.
  • 8Brown A, Orav J, Banks PA. Hemoconcentration is an early marker for organ failure and necrotizing pancreatitis. Pancreas, 2000,20(4) : 367-372.
  • 9Bradley EL 3d. A clinically based classification system for acute panereatitis. Summary of the International Symposium on Acute Pancreatitis. Atlanta,GA, September 11 through 13,1992. Arch Surg, 1993,128 (5) : 586-590.
  • 10Thomas L. Hamatocrit(HCT) In : Thomas L, ed. Clinical laboratory diagnostics. Use and assesment of clinical laboratory resuits. Frankfurt(Main), Germany : TH- Books, 1998,489-482.

共引文献2122

同被引文献15

  • 1廖家智,王家.美国急性胰腺炎临床指南(诊断部分)[J].临床内科杂志,2007,24(2):136-139. 被引量:66
  • 2Ocampo C, Silva W, Zandalazini H, et al. Pleural effusion is superior to multiple factor scoring system in predicting acute pancreatitis outcome. Acta Gastroenterol Latinoam, 2008,38 : 34- 42.
  • 3Uchikov AP,Shipkov HD, Markova DI. Pleural effusions in acute pancreatitis. Folia Med (plovdiv) ,2000,42 : 34-36.
  • 4Pezzillik R. The use of peripheral leukocyte count and chest x-rays in early assessment of the severity of acute pancreatitis in comparison whith the Ranson score system. Panminerva Med, 1999,41:39-42.
  • 5Lankish PG, Mahldke R, Blum T, et al. Hemoconcentration: an early marker of severe and/or necrotizing pancreatitis. A critical appraisou. Am J Gastroenterol,2001,96 : 2081-2085.
  • 6Brown A ,James-Stevenson T, Dyson T, et al. The panc 3 score: a rapid and accurate test for predicting severity on presentation in acute pancreatitis. J Clin Gastroenterol,2007 ,41:855-858.
  • 7Gumate V, Singh V, Dave P. Significance of pleural effusion in palients with acute pancreatitis. Am J Gastroenterol, 1992,87: 871-874.
  • 8Lankisch PG, Droge M, Becher R. Pleural effusions: a new negative prognostic parameter for acute pancreatitis. Am J Gastroenterol, 1994,89 : 1849-1851.
  • 9Gupta D,Chakraborty KL, Gomber S, et al. Massive pancreaticopleural effusion-an often unrecognised entity. Indian J Pediatr. 2001,68:883-885.
  • 10De Waele JJ, Delrue L, Hoste EA, et al. Extrapancreatic inflammation on abdominal computed tomography as an early predictor of disease severity in acute pancreatitis:evaluation of a new scoring system. Pancreas ,2007,34 : 185-190.

引证文献2

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部