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2003, Number 2

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Gac Med Mex 2003; 139 (2)

Usefulness of Base Deficit as Prognostic Factor in Acute Pancreatitis.

Sánchez-Lozada R, Chapa-Azuela O, Gutiérrez-Vega R, Fernández-Hidalgo E

Language: Spanish
References: 22
Page: 108-111
PDF size: 78.52 Kb.


ABSTRACT

Introduction: Acute pancreatitis (AP) severe is accompanied by important morbidity and mortality. Tissular hypo- perfusion has been suggested as a severity determinant. Base deficit (BD) demonstrated to be a good indicator of hypo-perfusion. We established predictive value in AP. Material and Methods: A retrospective, longitudinal, descriptive, and observational study was carried out. We included hospitalized patients from January 1996 to December 2000 with confirmed diagnosis of AP for laboratory, tomography and/or surgery; and with determination of BD on admission. Patients were divided into groups with or without BD and were compared with certain severity and mortality. Results: We study 104 patients, 40(38%) without BD and 64 (62%) with BD. The mortality belonged to 22 patients (21.2%), all of the group with BD. The BD had a sensibility of 71.4% to predict severity and of 100% for the motility Discussion: BD allows predicting severity and mortality in AP. These points out the role that carried out tissular hip perfusion; in addition, it can serve as guide for appropriate treatment.


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