acute pancreatitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18-75 years; 2. Male or female; 3. Onset shorter than 72h; 4. Diagnosed with AP and at the same time meet the diagnostic criteria for SIRS hospitalized patients; 5. Patients or their families consented to participate in the study and signed an informed consent form.
Exclusion criteria
Exclusion criteria: 1. glucocorticoid drug allergy; 2. history of severe mental illness, epilepsy; 3. active peptic ulcer, nearly six months of surgery, trauma healed; 4. severe hypertension, diabetes, hyperlipidemia, in the case of poorly controlled drugs; 5. failed to control the infection, such as tuberculosis, active hepatitis, chicken pox, and fungal infections; 6. severe osteoporosis; 7. pregnancy, breast-feeding women; 8. chronic renal failure caused by organic kidney disease; 9. Use in patients with peritoneal lavage; 10. before the onset of January corticosteroids were used; 11. by using a COX-2 inhibitor; 12. using immunosuppressive agents such as cyclosporine, tacrolimus, mycophenolate mofetil were; 13. combined onset of acute suppurative cholangitis; 14. autoimmune pancreatitis, acute exacerbation of chronic pancreatitis or tumor-induced acute pancreatitis; 15. added 3 months before the onset of other clinical trials.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Organ failure rate and duration;The rate and duration of abdominal compartment syn;Mortality; | — |
Secondary
| Measure | Time frame |
|---|---|
| The recent infection rates;the rate of operation after invalidation;The duration and scores of SIRS;blood routine examination;arterial blood gas analysis;C - reactive protein;procalcitonin;endotoxin;hepatic and renal function;blood glucose;blood glucose;bacteriology;abdominal CT scan; | — |
Countries
China