Resumo

GUTIERREZ, Suleida et al. Proteína C reactiva como marcador de severidad en pacientes con Pancreatitis Aguda. Gen [online]. 2008, vol.62, n.4, pp.282-285. ISSN 0016-3503.

The objective of this study was to establish the utility of c- reactive protein (CRP) as a marker of severity in patients with acute pancreatitis (AP), evaluated in the Gastroenterology service at the University Hospital of Maracaibo between March and December of 2006. Methods: This was a Prospective, descriptive and correlational study. The variables analyzed were age, sex, clinical presentation, etiology, Ranson´s criteria, Baltazar score and CRP values. CRP was determined through the quantitative technique, using the latex reagent. Results: We studied 35 patients, predominantly female 20 (57.14%), in the thirth and fourth decade of their lives. Regarding Ranson´s criteria, 25 (71.43%) presented less than 3 items, with CRP values between 8 and 128 mg/dl, 10 (28.57%) had º 3 with a CRP range between 128 and 256 mg/ dl, (p= 0.0011). A strong association between CRP and Ransom´s criteria was demonstrated (r= 0.871, p=0,0001), not observed between CRP and Balthazar score. AP of biliary etiology predominated in 16 (45.71%) The average 146,28μ80,22 CRP found in patients with alcoholic AP was higher when compared to the other etiologies. Conclusion: CRP is an useful laboratory test in order to determine the severity of AP.

Palavras-chave : Acute Pancreatitis; C Reactive protein; Marker of Severity.