METHOD FOR ASSESSING CLINICAL OUTCOME OF SEVERE AND MODERATE ACUTE PANCREATITIS WITH PREDOMINANT PANCREATIC TAIL INVOLVEMENT

摘要

FIELD: medicine.;SUBSTANCE: method for assessing the clinical outcome of severe and moderate acute pancreatitis with predominant pancreatic tail involvement consists in computed tomography angiography of the abdominal organs with bolus contrast enhancement. Herewith: pancreatic involvement, %: involvement up to 30% of the pancreatic volume - 1 point, 30-50% - 2 points, more than 50% - 3 points; necrosis depth in a sagittal plane, %: necrosis depth up to 30% stands for - 1 point, 30-50% - 2 points, more than 50% - 3 points; inflammatory infiltrate of the parapancreatic subcutaneous fat within the range of 20 to 0 units HU is 1 point, fluid accumulation in the parapancreatic subcutaneous fat within the range of 0 to +20 units HU - 1 point, duct involvement signatures - 1 point, ascites fluid - 1 point; complete blood count to determine the neutrophil response: if the neutrophil response of 15 or more and of 25 or less, 1 point is assigned; if the value is 26 or more and 40 or less, 2 points is assigned; if the value is more than 40 - 3 points; further conventional methods are used to diagnose carbohydrate metabolism pathology: impaired glucose tolerance - 1 point, newly diagnosed diabetes mellitus - 2 points; the points are summed up; if total score is 9 points or more, then the unfavourable outcome of acute pancreatitis with predominant pancreatic tail involvement is possible.;EFFECT: improved assessment accuracy.;6 tbl, 3 ex