TY - JOUR A2 - Draganov, Peter V. AU - Nistal, Markus AU - Zoltani, Malai AU - Lohse, Ansgar W. AU - Di Daniele, Nicola AU - Tesauro, Manfredi AU - Pace,急性胰腺炎(AP)是一种严重的疾病,通常伴有严重的上腹部疼痛。我们研究的目的是评估增强计算机断层扫描(CE-CT)的治疗结果和CRP对重症胰腺炎的预测价值。我们纳入了接受CE-CT检查或CRP = 150mg /dl的血浆脂肪酶升高3倍的患者。283例患者中有74例进行了CT增强扫描;11例CT后,内镜或手术干预作为治疗结果,50例对照中有19例。283例患者中69例(24.3%)在入院48小时内CRP为150mg /dl。其中32例出现了SAP, 150 mg/L的CRP检测灵敏度为80%,特异性为65%。超过临界值的SAP阳性预测值为46.4%。对于低于临界值的患者,SAP的阴性预测值为89.5%。 Our results support the opinion that an early CE-CT is usually not indicated. CRP helps to assess the course of AP; levels below 150 mg/dl between the first 48 h indicate a mild course in most of the cases. SN - 1687-6121 UR - https://doi.org/10.1155/2014/438697 DO - 10.1155/2014/438697 JF - Gastroenterology Research and Practice PB - Hindawi Publishing Corporation KW - ER -