Pancreas, Abdomen, CT, CT-Enterography, Laboratory tests, Contrast agent-intravenous, Imaging sequences, Acute, Inflammation
E. Vorobyeva, E. D. Akchurina, V. Sinitsyn, E. A. Mershina; Moscow/RU
Middle correlation was observed between the hematocrit and the pancreonecrosis extent (r=-0,37), creatinine clearance and Balthazar score (r=-0,4),
[Na+] and pancreonecrosis extent (r=-0,36),
[Na+] and CT severity index (r=-0,36).
No laboratory parameter,
which differs significantly in relation to the presence or absence of pancreonecrosis was observed.
To identify the pathophysiological reasons of the strong correlation absence between the laboratory markers and CT scores we supported,
that there are two processes: inflammation and necrosis,
which make the opposite contribution to the laboratory pattern.
To check this hypothesis we divided the participants into groups in accordance with the extent of pancreonecrosis and examined the correlation of the laboratory findings and the severity of inflammation inside of these groups.
This way we eliminated one of the factors – pancreonecrosis.
In this case the correlation obtained was much more decisive: there were 3-5 criteria with the middle correlation in the group.