张鹏 张昱 张金卓

    【摘要】 急性胰腺炎为消化科常见急症，病情复杂多样，发病率逐年升高。重症急性胰腺炎病情进展迅速，致死率高，因此早期评估患者病情并积极治疗，有利于降低患者死亡率，改善患者预后。为评估急性胰腺炎严重程度及预后，临床上相继出现了众多的评分系统及血清学指标。评分系统包括Ranson评分、急性生理学和慢性健康状况评价Ⅱ、急性胰腺炎严重程度床边指数、改良CT严重指数等，血清学标志物主要有C反应蛋白、降钙素原、甲状腺激素、D-二聚体、血尿素氮、血肌酐等。本文就预测急性胰腺炎严重程度及预后的相关指标的研究进展进行综述。

    【关键词】 急性胰腺炎 疾病严重程度 预后 早期预测

    Research Progress of Forecasting Indicator in the Severity and Prognosis of Acute Pancreatitis/ZHANG Peng， ZHANG Yu， ZHANG Jinzhuo. //Medical Innovation of China， 2024， 21(03)： 155-160

    [Abstract] Acute pancreatitis is a common emergency in the department of gastroenterology， with complex and diverse conditions and increasing incidence year by year. Severe acute pancreatitis progresses rapidly and has a high fatality rate. Therefore， early assessment of the patient's condition and active treatment are conducive to reducing the mortality of patients and improving the prognosis of patients. In order to evaluate the severity and prognosis of acute pancreatitis， numerous scoring systems and serological indicators have been appeared one after another in clinical. The scoring system includes Ranson score ......