王澄华

赣南医科大学

摘要(Abstract)：

急性胰腺炎（AP）是一种发病急、进展快且预后差异显著的消化系统急症，其严重程度从自限性水肿型到致死性坏死型不等。血清标志物因具有无创、便捷、可动态监测等优势，已成为AP预后评估体系的核心组成部分。本综述系统梳理了血清标志物在AP预后评估中的基础理论、流行病学特征、诊断技术、治疗策略、局限性和评估潜力。研究表明，传统标志物（如C反应蛋白、降钙素原）与新型标志物（如microRNA、代谢物）的联合应用可显著提升预后评估的准确性，然而，血清标志物的特异性不足、动态变化规律不明确等问题仍制约其临床应用。

关键词(KeyWords)：

急性胰腺炎；预后；血清标志物

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