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目的验证修订版亚特兰大分类在急性胰腺炎(acute pancreatitis,AP)严重程度判断中的准确性。方法回顾分析2012年1月~2013年12月入院的243例AP患者的临床资料。依据修订版亚特兰大分类,分别计算轻型、中度重症、重症AP患者的全胃肠外营养时间(TPN)、ICU停留时间、住院时间、手术率及死亡率。结果 243例资料完整的患者根据修订版亚特兰大分类,分别有49.4%(120/243)、46.9%(114/243)及3.7%(9/243)患者属于轻型、中度重症、重症AP。与轻型及中度重症AP相比,重症AP患者TPN使用时间[(1.4±1.1)d,(4.8±1.9)d,(11.1±9.2)d]、ICU停留时间[(1.1±0.6)d,(6.5±1.4)d,(14.0±8.8)d]、住院时间[(7.2±1.3)d,(21.1±8.7)d,(31.2±21.9)d]、手术率(0,21.1%,100.0%)及住院死亡率(0,1.8%,66.7%)显著升高。结论修订版亚特兰大分类能准确的反应AP患者的严重程度,区分各型AP患者预后。
Objective To verify the accuracy of the revised Atlanta classification in judging the severity of acute pancreatitis (AP). Methods The clinical data of 243 patients admitted to AP from January 2012 to December 2013 were retrospectively analyzed. Based on the revised Atlanta classification, total parenteral nutrition (TPN), ICU stay, hospital stay, surgery, and mortality were calculated for patients with mild, moderate to severe, and severe AP, respectively. Results Of the 243 patients with complete data, 49.4% (120/243), 46.9% (114/243) and 3.7% (9/243) patients, respectively, were classified as mild, moderate to severe and severe AP according to the revised Atlanta classification. The duration of TPN in patients with severe AP was (1.4 ± 1.1) days, (4.8 ± 1.9) days, (11.1 ± 9.2) days, and ICU stay [(1.1 ± 0.6) days, (6.5 ± 1.4) d, (14.0 ± 8.8) d], length of hospital stay [(7.2 ± 1.3) days, (21.1 ± 8.7) days and (31.2 ± 21.9 days) ) And hospital mortality (0,1.8%, 66.7%) were significantly higher. Conclusion The revised Atlanta classification can accurately reflect the severity of AP patients and distinguish the prognosis of various types of AP patients.