重症急性胰腺炎螺旋CT分型在临床预后判断中价值.docVIP

重症急性胰腺炎螺旋CT分型在临床预后判断中价值【摘要】 目的 探讨重症急性胰腺炎螺旋CT分型方法,以便判断胰腺炎严重程度,有助于对重症患者及时有效的治疗和临床监测,防止某些并发症的发生。方法 回顾性分析130例重症急性胰腺炎患者临床、CT资料,根据临床资料、螺旋CT表现分为A型、B型、C型。结果 130例重症急性胰腺炎患者中A型50例、B型47例、C型33例。A型患者局部和全身并发症少,住院时间短,手术及死亡例数为零;B型、C型患者局部和全身并发症较多,住院天数多、手术及死亡例数高。结论 重症急性胰腺炎螺旋CT分型对判断胰腺炎严重程度有一定价值,有助于临床预后判断。 【关键词】重症急性胰腺炎;预后;价值;体层摄影术; X线计算机 The value of Spiral CT classification of severe acute pancreatitis in predicting prognosis JIA Xi-zhong.The first affiliated hospital of NanYang Medical College CT room NanYang City,HeNan Province,Nanyang 473058,China 【Abstract】 Objective Purposethe investigation of the methods in Spiral CT classification of severe acute pancreatitis,in order to determine the Severity of pancreatitis,Critically ill patients would be treated Effectively and Clinical monitored,some Complication would be prevented.Methods Retrospective analysis of Clinical data and CT data for 130 cases of severe acute pancreatitis patients.In terms of clinical data,the types of Spiral CT is A,B and C.Results In 130 cases of severe acute pancreatitis patients,A is 50 cases,B is 47 cases,C is 33 cases.The number of Complication in Local and systemic of A patients is small,the time in hospital is short,the number of surgery and death is zero.The number of Complication in Local and systemic of B and A patients is large,the time in hospital is long,the number of surgery and death is large.Conclusion Spiral CT classification of severe acute pancreatitis could determine the Severity of pancreatitis,it helps in clinical Prognosis. 【Key words】Severe acute pancreatitis; Prognosis; Value; Tomography; X Ray Computed 我国于1992年制定了重症胰腺炎临床诊断标准及分级标准,虽然CT影像学的表现也列为分级标准之一,但目前无CT分级的详细标准[1]。CTSI是目前判断急性胰腺炎严重程度最常用的影像学方法,但其评分方法复杂[2]。本文回顾性分析130例重症急性胰腺炎患者的临床、CT资料,旨在探讨重症急性胰腺炎的CT分型方法。 1 资料与方法 1.1 一般资料 将我院2003年12月至2007年4月期间重症急性胰腺炎患者CT、临床资料搜集整理,合计130例,其中男97例,女33例,男:女=2.94:1。年龄14~80岁,平均(45±10.11)岁。主要临床表现为:突发剧烈上腹部疼痛,伴有不同程度的腹膜炎体征,同时伴有恶心、呕吐及腹胀。病因中65例有胆道疾病病史,20例患病前有暴饮暴食现象,15例有大量饮酒史,7例有高脂血症。其中125例血、尿淀粉