早期预警评分联合CRP在高脂血症性胰腺炎严重程度及预后中的临床价值

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Clinical Value of Early Warning Score Combined with CRP in the Severity andPrognosisofHyperlipidemicPancreatitis

LI Minghong，LIU Jun，CHEN Yuping

（EmergencyDepartmentofShangyou CountyPeople'sHospital，Shangyou3412Oo，Jiangxi，China）

Abstract：ObjectiveTexplorethevalueofearlywaing（NEW）sorecombinedwithCreactiveprotein（CRP）inevaatingteseveritynd prognosisfhyperlipidecpancreatis（HMetdsotalof6patintsithdmitedtSagouCoutyeopsospialroay 2020toJuly3eredividedtoldouatients），odeategouptits）devereop4patintsogtoiyf thedisease.TerCRPlevelasetected，teNEWalesorewascompleedndtheprogosisaseredTeCRPlveldEW scoreofmildgoup，oderategroupandseveregouperecomparedTecorrlationetweenCRPandNWSscoreandtheseveriofHPas analyzed.TheCRPndNEWcoresofpatientswithoorprogosisndgodprogosiserecomparedTepredicieueofCRPoinedwih NEWSscoreforoprogosisinpatientsithasaedResultsThreereatistallysignifiantdfrencesinCRleveldEW score among the three groups（ P < 0 . 0 5 ） .The CRP level and NEWS score from low to high were mild group .TheROC curve showed that the AUC，sensitivity andspecificityofCRPcombinedwithNEWSscoreinpredictingpoorprognosisofHLPweregreaterthanthoseofthetwoalone（ P <0.05）. ConclusionCRevelndEWSorereoelaedieeverityfndecombddetectoofthtosighprieaue for the prognosis of HLP.

Keywords：Hyperlipidemicpancreatitis；C-reactiveprotein；Earlywarnngscore；Poorprognosis；Predictivevalue；Sesitivity

高脂血症性胰腺炎（hyperlipidemicpancreatitis，HLP）为急诊常见消化系统疾病，其病情进展迅速、腹痛剧烈，具有发病急、病程长、并发症多等特点，患者多伴有较高的死亡风险，其病情评估及预后风险的提早判断尤为关键[2]。（剩余5855字）