Clinical-laboratory, prognostic criteria for monitoring the course of acute pancreatitis
DOI:
https://doi.org/10.11603/2414-4533.2018.1.8855Keywords:
acute pancreatitis, necrotizing pancreatitis, procalcitonin, neural network.Abstract
The aim of the work: to develop prognostic criteria for monitoring the course of a cute pancreatitis
Materials and Methods. The study was conducted from 2014 to 2018 on the severity of acute pancreatitis (AP) in 167 patients, who were divided into two groups according to the International Consultation (2012). The complex of clinical, general laboratory examinations and special tests was carried out, in particular determination of the level of procalcitonin by immunochromatographic method, instrumental examination methods: computed tomography (CT), ultrasound diagnostics (ultrasound), magnetic resonance pancreatic cholangiography. A software analysis of the obtained data in the program Statistica Soft 13.0 was carried out, the method of constructing neural networks was used.
Results and Discussion. It has been established that amylases above 185 U /Land ALT> 34 are a measure that raises the risk of developing a patient with severe or critical pancreatitis. Procalcitonin should be used as a marker of infected acute necrotic pancreatitis in combination with other parameters of inflammation, which allows you to choose the right surgical treatment.
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