Continuous Blood Purification for Regulation of Early Inflammatory Response In Severe Acute Pancreatitis
Continuous Blood Purification for Regulation of Early Inflammatory Response In Severe Acute Pancreatitis
Systemic Inflammatory response syndrome(SIRS) is common in patients with severe acute
 pancreatitis (SAP) in early stage. Continuous Blood Purification (CBP), especially Continuous
 Veno-Venous Hemofiltration(CVVH) is proved to have an important role in SAP patients to
 control SIRS. But the detail treatment for this is controversial. In this study, the
 investigators aim to evaluate the different effects of three kinds of treatment protocols
 which is CVVH 6h,continuous venovenous hemodiafiltration(CVVHDF) 6h,CVVH 10h for first three
 days in SAP patients. Compare the vital sign, SIRS parameters, and others between these three
 groups. This study will try to find a better way for CBP in patients with SAP
Condition Severe Acute Pancreatitis

 Intervention CVVH 6 hours for first three days CVVH 10 hours for first three days CVVHDF 6
 hours for first three days

 All therapeutic volume is 45ml/kg.h, Device: Braxter HF 1200
Inclusion Criteria:

 Inclusion Criteria:

 1. Diagnosis of pancreatitis:

 -  Typical pain

 -  Increase in serum lipase or amylase

 -  Onset of abdominal pain within <=72h before admission

 2. The diagnosis criteria of Severe Acute Pancreatitis is according to Atlanta criteria
 revisited in 2012

 3. no chronic diseases such as Chronic Obstructive Pulmonary Disease, Diabetes Mellitus
 and so on

 4. Age from 18 to 65 years old

 Besides criteria above, the patient should also satisfied one of these CBP criteria:

 1. Have Acute Kidney Injury satisfied RIFLE classification (risk above): increased Serum
 Creatinine > 1.5 times baseline，26.5umol/L increase, or urine output < 0.5ml/kg.h for
 6 hours

 2. Systemic Inflammatory Response Syndrome: temperature >38℃ or<36℃；heart rate
 respiratory rate White blood cell count >12*10^9/L，or< 4*10^9/L

 3. Refractory acid-base and electrocyte balance disorder, metabolic acidosis conservative
 treatment is not effective.

 Exclusion Criteria:

 1. Pregnancy

 2. Chronic pancreatitis

 3. Immunosuppression condition such as HIV, Corticosteroid for 3 weeks in 60 days; White
 Blood Cell < 0.5*10^9/L for 10 days