{"id":2539,"date":"2009-03-03T18:33:05","date_gmt":"2009-03-03T18:33:05","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasranson\/"},"modified":"2025-05-14T19:11:00","modified_gmt":"2025-05-14T19:11:00","slug":"gasranson","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gasranson\/","title":{"rendered":"Criterios Severidad para Pancreatitis Aguda"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p style=\"font-weight: 400;\"><strong>Criterios de Ranson como Predictor de Severidad de Pancreatitis Aguda<\/strong><\/p>\n<ol>\n<li style=\"font-weight: 400;\">Cuando 3 o m\u00e1s de los siguientes est\u00e1n presentes a la admisi\u00f3n, un curso severo y complicado por la necrosis pancre\u00e1tica puede ser pronosticado con una sensibilidad del 60-80%:<\/li>\n<\/ol>\n<p><!--more--><\/p>\n<ul style=\"font-weight: 400;\">\n<li>Edad\u00a0mayor de 55\u00a0a\u00f1os.<\/li>\n<li>Recuento de gl\u00f3bulos blancos mayor 16.000\/uL.<\/li>\n<li>Glucemia\u00a0mayor 200 mg\/dL.<\/li>\n<li>Lactato deshidrogenasa (LDH) s\u00e9rica mayor 350 unidades\/L.<\/li>\n<li>Aspartato aminotransferasa (AST, SGOT) mayor 250 unidades\/L.<\/li>\n<\/ul>\n<ol start=\"2\">\n<li style=\"font-weight: 400;\">Desarrollo de lo siguiente en la primeras 48 horas indican mal pron\u00f3stico:<\/li>\n<\/ol>\n<ul style=\"font-weight: 400;\">\n<li>Descenso de hematocrito m\u00e1s de 10 puntos porcentuales.<\/li>\n<li><strong>Ascenso de la urea nitrogenada s\u00e9rica\u00a0<\/strong>(BUN) mayor de 5 mg\/dL.<\/li>\n<li>PO2 arterial menor de 60 mm Hg.<\/li>\n<li>Calcio s\u00e9rico menor de 8 mg\/dL.<\/li>\n<li>D\u00e9ficit\u00a0de bases mayor de 4 meq\/L.<\/li>\n<li>Secuestro estimado de fluidos mayor de 6 L.<\/li>\n<\/ul>\n<ol start=\"3\">\n<li style=\"font-weight: 400;\">Mortalidad correlacionada con el n\u00famero de criterios presentes:<\/li>\n<\/ol>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"text-align: center; height: 24px;\">N\u00fameros\u00a0de\u00a0criterios<\/td>\n<td style=\"text-align: center; height: 24px;\">\u00cdndice\u00a0de\u00a0Mortalidad<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"text-align: center; height: 24px;\">0-2<\/td>\n<td style=\"text-align: center; height: 24px;\">1%<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"text-align: center; height: 24px;\">3-4<\/td>\n<td style=\"text-align: center; height: 24px;\">16%<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"text-align: center; height: 24px;\">5-6<\/td>\n<td style=\"text-align: center; height: 24px;\">40%<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"text-align: center; height: 24px;\">7-8<\/td>\n<td style=\"text-align: center; height: 24px;\">100%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\"><strong>\u00cdndice de Severidad en la TC de Balthazar para Pancreatitis Aguda<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>Grado Tomogr\u00e1fico<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Puntos<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Necrosis<\/strong><br \/>\n<strong>(%)<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Puntos Adicionales<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>\u00cdndice\u00a0de\u00a0Severidad<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Mortalidad<\/strong><br \/>\n<strong>(%)<\/strong><\/td>\n<\/tr>\n<tr>\n<td>A-\u00a0P\u00e1ncreas\u00a0normal<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<\/tr>\n<tr>\n<td>B-\u00a0Agrandamiento pancre\u00e1tico<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<\/tr>\n<tr>\n<td>C- Inflamaci\u00f3n pancre\u00e1tica y\/o grasa peripancre\u00e1tica<\/td>\n<td style=\"text-align: center;\">2<\/td>\n<td style=\"text-align: center;\">&lt; 30<\/td>\n<td style=\"text-align: center;\">2<\/td>\n<td style=\"text-align: center;\">4<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<\/tr>\n<tr>\n<td>D- Colecci\u00f3n l\u00edquida peripancre\u00e1tica \u00fanica<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">30-50<\/td>\n<td style=\"text-align: center;\">4<\/td>\n<td style=\"text-align: center;\">7<\/td>\n<td style=\"text-align: center;\">&gt; 17<\/td>\n<\/tr>\n<tr>\n<td>E- Dos o m\u00e1s colecciones l\u00edquidas o aire retroperitoneal<\/td>\n<td style=\"text-align: center;\">4<\/td>\n<td style=\"text-align: center;\">&gt; 50<\/td>\n<td style=\"text-align: center;\">6<\/td>\n<td style=\"text-align: center;\">10<\/td>\n<td style=\"text-align: center;\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>El \u00edndice de severidad de la TC sin contraste es igual puntuaci\u00f3n de la TC m\u00e1s puntuaci\u00f3n de la necrosis (basado en la TC con contraste): m\u00e1ximo = 10, &gt;\/= 6 = enfermedad grave.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Ranson JH. Acute pancreatitis: pathogenesis, outcome and treatment. Clin Gastroenterol. 1984 Sep;13(3):843-63. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/6386241\/\">[Medline]<\/a><\/li>\n<li>Balthazar EJ: Acute pancreatitis: assessment of severity with clinical and CT evaluation. Radiology 2002;223:603. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12034923\/\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Ene 07, 2006<\/p>\n<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Criterios de Ranson como Predictor de Severidad de Pancreatitis Aguda Cuando 3 o m\u00e1s de los siguientes est\u00e1n presentes a la admisi\u00f3n, un curso severo y complicado por la necrosis pancre\u00e1tica puede ser pronosticado con una sensibilidad del 60-80%:<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[231,230,16,15,1413,1008,1650,226,180,1375],"class_list":["post-2539","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-acute","tag-aguda","tag-criteria","tag-criterios","tag-gastroenterology","tag-pancreatitis","tag-ranson","tag-severidad","tag-severity","tag-uti"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2539","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2539"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2539\/revisions"}],"predecessor-version":[{"id":9112,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2539\/revisions\/9112"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2539"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2539"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}