Ransons Criteria

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  • validated only for alcoholic pancreatitis

Criteria present initially

  • age >55 years
  • WBC >16
  • Blood glucose >11.2 mmol/l
  • Serum LDH >350 U/l
  • AST >250 U/l

Criteria developing within first 24 hours

  • haematocrit fall >10%
  • urea rise >5mg/l
  • arterial PO2 <8kPa
  • base deficit >-4
  • estimated fluid sequestration > 6l

Mortality

  • 0-2 criteria = 2%
  • 3-4 = 15%
  • 5-6 = 40%
  • 7-8 = 100%
 

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