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目的探讨APACHEⅡ评分系统对急性胰腺炎危重患者及预后的判定意义。方法 72例急性胰腺炎患者按出院后病案记录完成入院 4 8小时APACHEⅡ评分。结果随APACHEⅡ评分升高 ,急性胰腺炎患者的住院病死率也升高。病情恶化 ,评分上升 ;病情好转 ,评分下降。入院 4 8小时APACHEⅡ评分判断患者死亡的界值为 15分。结论A PACHEⅡ评分系统是评定急性胰腺炎危重程度和预测患者预后的良好指标。
Objective To investigate the significance of APACHEⅡscore system in judging the prognosis of critically ill patients with acute pancreatitis. Methods A total of 72 acute pancreatitis patients were admitted to hospital for 48 hours APACHE Ⅱ score according to the record of medical records after discharge. The results with the APACHE Ⅱ score increased inpatient mortality in patients with acute pancreatitis also increased. The condition deteriorated and the score increased; the condition improved and the score decreased. Admission 4 8 hours APACHE Ⅱ score to determine the death of the patient’s cut-off value of 15 points. Conclusion A PACHE Ⅱ scoring system is a good indicator to evaluate the severity of acute pancreatitis and predict the prognosis of patients.