Acute pancreatitis various classifications

Acute pancreatitis is a common one of the acute abdomen, and was particularly prevalent in young women than men (about 2:1). Its incidence after acute appendicitis, bowel obstruction, acute cholecystitis cholelithiasis. Because of the main pancreatic duct obstruction, the pressure suddenly increased pancreatic duct, pancreas and lymph circulation of blood from the pancreas, and other obstacles to their own digestive enzymes to digest an acute inflammation. Acute hemorrhagic necrosis of about 2.4 to 12%, and its high mortality rate, up to 30 ~ 50%. The disease misdiagnosis rate was as high as 60 to 90%. The classification of acute pancreatitis
Etiology: ① acute gallstone pancreatitis; ② alcoholic acute pancreatitis; ③ familial hyperlipidemia acute pancreatitis; ④ parathyroid tumor secondary to the acute pancreatitis; ⑤ postoperative acute pancreatitis; ⑥ secondary to pancreatic cancer acute pancreatitis; ⑦ secondary in the gills pancreatitis of acute pancreatitis; ⑧ acute idiopathic pancreatitis, etc.. This classification method is not perfect classification.
Pathologic classification (Qin Baoming classification): ① acute edema pancreatitis; ② acute hemorrhagic pancreatitis; ③ acute necrotizing pancreatitis; ④ acute necrotizing pancreatitis hemorrhagic (bleeding-based); ⑤ acute hemorrhagic necrotizing pancreatitis (necrosis); ⑥ urgency suppurative pancreatitis. This classification is not practical because of the difficulty in obtaining Pathomorphology confirmed.
Clinical Classification
The first meeting of Marseilles Classification (1963): acute pancreatitis, recurrent acute pancreatitis, chronic pancreatitis, chronic recurrent pancreatitis.
The second classification Marseille (1984): ① light: None of pancreatic necrosis in real terms, only interstitial edema, necrosis can be peripancreatic fat. Progress can be heavy; ② heavy: Peripancreatic and with the fat and real pancreatic necrosis, hemorrhage, or focal lesions showed diffuse.
Atlanta Classification (1992): acute interstitial pancreatitis (mild acute pancreatitis), acute necrotizing pancreatitis (severe acute pancreatitis).