[Deaths due to acute pancreatitis].
In 908 patients with acute pancreatitis (AP), 77 belonged to necrotic AP, 34 patients died (14 sudden deaths). Diagnosis was verified by autopsy in 24 cases, by surgical exploration in 8, and by other means in 2. It was found that owing to the lack of information from autopsy, more AP deaths were neglected. In some AP cases, hemorrhage and necrosis in the pancreas happened in several hours. The severity of the pathologic changes in the pancreas (hemorrhage, necrosis) was not proportional to the mortality rate of AP especially in those sudden deaths, a fact implicating a systemic lethal factor released at the early stage of AP. we used systemic support of AP patients at the early stage and explored the patients only when complications ensued. Neither Ranson nor Imire risk factors was helpful in predicting sudden deaths of AP cases.
Gu
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General Hospital of People's Liberation Army.
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003645:Death, Sudden / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000473:pathology; D010195:Pancreatitis / Q000150:complications* / Q000473:pathology / Q000601:surgery