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[Early factors of necrosis in acute hemorrhagic necrotic pancreatitis].

In 60 cases of acute pancreatitis it was noted that 10 developed towards the haemorrhagic necrotic form. All these cases were surgically verified. Stress is laid on the factors that appear earliest in the change-over from an oedematous to a necrotico-haemorrhagic form. These factors (shock, fever, leukocytosis, hypocalcaemia, hyperglycaemia, pain, etc.) are assessed in relation to the frequency of their appearance and of their importance and reliability. These parameters point to the change-over from a pancreatopathy of medical significance to one of surgical interest and also suggest the most suitable moment for carrying out the operation.