EVALUATION OF APACHEII AND RANSON SCORING SYSTEM IN SEVERE ACUTE PANCREATITIS.

Objective To study the value of acute physiology,age and chronic health evaluation Ⅱ(APACHEⅡ)and Ranson scoring on predicting the severity and prognosis and indicating clincal agents of severe acute pancreatitis(SAP).Methods A total of 94 patients with SAP were analyzed with APACHEⅡand Ranson criteria retrospectively.Result According to APACHEⅡ scoring system,the group with organ dysfunction was significantly higher than the group without it(P0.05).The incidence of organ failure in high score group was more than that in low score group (P0.05).The APACHEⅡ score in death cases was higher than that in survival cases(P0.05).Obvious difference of mortality was showed between high score group and the low one(P0.05).Patients treated with operation and conservatively showed no difference in APACHEⅡ score(P0.05),and there was no significant difference between these two groups in operation rate(P0.05),and there was no significant difference bwtween these two groups in operation rate(P0.05).According to Ranson scoring system,there was no significant difference between organ dysfunction patients and negative one(P0.05).The Ranson score in survival cases was not different with death cases(P0.05).Patients treated with operation and conservatively showed no difference in Ranson score(P0.05).Conclusion The APACHEⅡ scoring system could be used as an important reference in evaluation the severity and prognosis of SAP,but the value of Ranson criteria is not stable.Neither of the two systems can indicate surgical agents independently.