H ANTI -

- "" , . 15cm . 4 : , , . , Santorini.

, .

, . , . , , .

.

, . , .

. , , 20% .

80% .

: 1 : 3 6 : 1 .

ERCP (5-10%) Epstein-Barr

1 .

, : , , , ( ), ERCP

- Levin . Folley monitor /

, . . ., . : (), . .

( ) , , . . , , . . (, , ) . (, , , ). . ., , , - . , , , , . . , , , , . , , . ., , , , , . ..

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,

.

ERCP - .

60% 40% 80-85% 15-20% < 1% 5% 25-70%

APACHE II RansonGlasgow

48 > 55 > 55 yWBC > 16,000 mm3WBC > 15,000 mm3LDH > 350 IU/LLDH > 600 IU/LGlucose > 200 mg/dLLT > 200 IU/L > 180 mg/dL A < 3.2 g/dLAST > 250 IU/L < 8 mg/dLA PO2 < 60 mm 48 > 45 mg/dLA > 5 mg/dL Ht > 10% (PO2 < 60 mmHg) > 4 MEq/L > 6 L

.

************* .* . Apache II , 48 Ranson. , Ranson . Adapted from Agarwal N. Pitchumoni CS. Assessment of severity in acute pancreatitis. Am J Gastroenterol 1990; and Marshall JB. Acute pancreatitis: a review with an emphasis on new developments. Arch Intern Med. 1993q 153: 1185

*The severity of acute pancreatitis can be assessed by clinical evaluation or scoring systems including the Ranson critieria, the Glasgow system, and the Acute Physiology and Chronic Health Evaluation (APACHE) II system.

*