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目的 :研究急性胰腺炎CT的临床特征,增强急性胰腺炎治疗的水平,给临床治疗提供参考依据。方法 :采用回顾式的方法对在本院治疗的50例患者进行了X线、B超、血清淀粉酶、临床症状等资料的对比分析。结果 :参与本次研究的患者均出现了不同程度的临床表现症状,急性及弥漫性上腹疼痛、呕吐,均伴有血、尿胰酶及淀粉酶增高等。胰腺实质改变CT表现为胰腺肿胀、蜂窝组织炎、点状或小片状低密度区、斑点状高密度出血灶、包膜增厚等,CT增强扫描可以分辨急性胰腺炎属于水肿型还是出血坏死型。结论 :使用多层螺旋CT可以有效的确诊急性胰腺炎,并判断炎症累与病灶范围。CT检测有助帮助医生对急性胰腺炎做出准确的判断,同时,可以确定患者是否伴有并发症,提高了临床治疗的准确度与效果,应在临床诊断中大力推广与应用,对患者的预后有一定的意义。
Objective: To study the clinical features of CT in acute pancreatitis, enhance the level of acute pancreatitis and provide a reference for clinical treatment. Methods: A retrospective analysis of 50 cases of patients treated in our hospital by X-ray, B ultrasound, serum amylase, clinical symptoms and other data were analyzed. Results: All the patients participated in this study showed clinical manifestations of varying degrees, acute and diffuse upper abdominal pain and vomiting, accompanied by increased blood, urine trypsin and amylase. Pancreatic changes in the CT showed pancreatic swelling, cellulitis, punctate or small low-density area, spot-shaped high-density bleeding, thickening of the capsule, CT enhanced scan can distinguish acute pancreatitis is edema or hemorrhagic necrosis type. Conclusions: The use of MSCT can effectively diagnose acute pancreatitis and determine the extent of inflammation that affects the lesion. CT testing can help doctors to make accurate judgments of acute pancreatitis, at the same time, to determine whether patients with complications, improve the accuracy and effectiveness of clinical treatment should be vigorously promoted in the clinical diagnosis and application of the patient’s The prognosis has some significance.