急性胰腺炎亚特兰大分类-研究方案

V. K. Singh, R. Dhande, G. Mishra
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引用次数: 0

摘要

背景:急性胰腺炎是最常见的腹部疾病之一,其后果多种多样,从自限性腹痛到器官衰竭导致的高死亡率和发病率,在过去的五十年里,出现了各种分类系统来根据胰腺炎的严重程度对其进行分类,相关并发症已出现,可对急性胰腺炎及其各种并发症进行分类,如Apache评分、Ct严重程度、改良Ct严重度、Ransen和Atlanta分类。目的:在我们的研究中,我们将根据修订的亚特兰大分类法对急性胰腺炎患者进行分类,将其分为间质性水肿性胰腺炎和坏死性胰腺炎。根据CT影像学表现,将局部并发症分为急性坏死集合、包膜囊肿、急性坏死集合和坏死壁。器官衰竭将根据改良的元帅评分系统分为短暂性或持续性器官衰竭。方法:我们将在西门子16层计算机断层扫描机上对140名来我院门诊的患者进行研究,然后对患者进行常规临床随访,以了解他们的预后。研究方案Singh等人。;JPRI,33(31B):61-682021;文章编号:JPRI.68602 62结果:将在研究结束时使用SPSS 26版软件制成表格。结论:修订后的急性胰腺炎Atlanta分型,结合器官衰竭改良马歇尔评分系统,如果在我们的系列中发现对改善患者预后有用,那么可以将其纳入管理中。
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Atlanta Classification for Acute Pancreatitis- A Study Protocol
Background: Acute pancreatitis is one of the most common abdominal pathologies having variable outcome ranging from self limiting abdominal pain to high mortality and morbidity due to organ failure, over the past five decades, various classification systems have emerged to classify pancreatitis according to its severity , and the associated complications have emerged to classify acute pancreatitis and its various complications, such as Apache Scoring , Ct Severity , Modified Ct Severity ,Ransen and Atlanta Classification. Objectives: We in our study will be classifying patients suffering from acute pancreatitis according to the revised Atlanta classification to divide them into interstitial edematous pancreatitis and necrotizing pancreatitis. The local complications will be classified according to CT imaging findings into acute necrotic collection, psuedocyst, acute necrotic collection and walled of necrosis. Organ failure will be assessed according to modified marshal scoring system into transient or persistent organ failure. Methodology: We will be carrying forward our study on Siemens 16 slice computer tomography machine over a sample of 140 patients coming to the outpatient department of our hospital which will be followed by a routine clinical follow up of the patient to find out their prognosis. Study Protocol Singh et al.; JPRI, 33(31B): 61-68, 2021; Article no.JPRI.68602 62 Results: Will be tabulated at the end of the study using SPSS version 26 software. Conclusion: The revised Atlanta classification for acute pancreatitis, in conjunction with the Modified Marshall Scoring System for organ failure, if found useful, in our series in improving the prognosis of the patients, then it can be incorporated in management.
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