既往25年中急性胰腺炎的死亡率由20～25％降至10％,这主要是由于急性胰腺炎有了更多的了解和重视早期支持疗法的结果。 本病的诊断主要靠临床表现和血清淀粉酶的升高(>1000IU/L)。 本病的严重程度差异很大,可由短暂的上腹痛至随之而来的腹部危象和多个系统的功能衰竭。不幸的是,临床检查在早期用来预测此病的严重度是靠不住的。Ranson提出联合应用临床和生化标准来预测,由Imrie修改后如表所示: In the past 25 years, the mortality rate of acute pancreatitis decreased from 20% to 25%, mainly due to more understanding and attention to the results of early supportive therapy in acute pancreatitis. The diagnosis of the disease depends mainly on clinical manifestations and elevated serum amylase (> 1000IU / L). The severity of the disease varies greatly from short-term upper abdominal pain to consequent abdominal crisis and failure of multiple systems. Unfortunately, the severity of clinical tests used to predict the disease early on is unreliable. Ranson proposed a combination of clinical and biochemical criteria to predict, modified by Imrie as shown in the table below: