《急诊每日一题》急性胰腺炎患者出现胰腺坏死最危险因素2021年4月

Question 问题：

Appropriate management of acute pancreatitis during the first 24 hours after presentation is critical. What clinical marker is most closely associated with the development of pancreatic necrosis? 

急性胰腺炎就诊后24小时内的合理治疗是关键的。与出现胰腺坏死的最密切临床指标是什么？

Answer 答案：

Correction of hypovolemia is critical, as failure to achieve decrease in the hematocrit at 24 hours has been reported as the best risk factor for development of pancreatic necrosis. 

纠正低容量是关键，因为已有报告显示24小时内红细胞压积没有下降是导致胰腺坏死的最危险因素。

参考文献：

Mayo Clin Proc. VOLUME 96, ISSUE 4, P1052-1057, APRIL 01, 2021