重症急性胰腺炎患者感染时炎症指标值变化与螺旋CT影像学分析

发布时间：2018-03-03 03:06

本文选题：重症急性胰腺炎　切入点：感染　出处：《中华医院感染学杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨重症急性胰腺炎(SAP)患者感染时白细胞计数(WBC)、红细胞(RBC)、降钙素原(PCT)、红细胞压积(HCT)变化与螺旋CT影像学表现,为SAP合并感染的治疗提供参考依据。方法收集2014年1月-2016年6月住院治疗SAP患者80例,根据确诊结果分为未感染组34例与感染组46例,比较患者入院时的血常规及螺旋CT检查结果。结果两组患者RBC水平比较差异无统计学意义;感染组WBC、PCT、HCT水平高于未感染组,差异有统计学意义(P0.05);感染组螺旋CT诊断为SAP合并感染患者42例,诊断符合率为91.30%,未感染组螺旋CT诊断为SAP无感染患者30例,诊断符合率为88.24%,比较差异无统计学意义;感染组出现胰腺体积增大、胰腺脂肪层模糊不清及周围渗出、可见单个区域胰液潴留、可见多个区域胰液潴留、观察到气泡征、有片状坏死出现均高于未感染组(P0.05)。结论 SAP合并感染时可出现WBC、PTC、HCT升高,螺旋CT下影像学可表现出胰腺体积增大伴有胰腺脂肪层模糊不清及周围渗出,多个区域胰液潴留、气泡征、片状坏死。
[Abstract]:Objective to investigate the changes of white blood cell count (WBCU), RBCU, procalcitonin (PCT), hematocrit (HCT) in patients with severe acute pancreatitis (SAP) infection and the imaging findings of spiral CT. Methods from January 2014 to June 2016, 80 patients with SAP were divided into two groups: 34 cases in uninfected group and 46 cases in infected group. Results there was no significant difference in RBC level between the two groups, and the level of RBC in infected group was higher than that in uninfected group. In the infection group, 42 cases were diagnosed as SAP complicated with infection, the diagnostic coincidence rate was 91.30g, 30 cases were diagnosed as SAP without infection by spiral CT in the infection group, the diagnostic coincidence rate was 88.24%, there was no significant difference between the two groups. In the infected group, the volume of pancreas was enlarged, the pancreatic adipose layer was blurred and exudated, the retention of pancreatic fluid was observed in single area, the retention of pancreatic fluid was observed in multiple regions, and the bubble sign was observed. Conclusion there is an increase of SAP in SAP complicated with infection. Spiral CT can show that the volume of pancreas increases with blur and peripheral exudation of pancreatic adipose layer, and pancreatic fluid retention in many regions. Bubble sign, flake necrosis.
【作者单位】：遵义市第一人民医院影像科;遵义医药高等专科学校护理系;
【基金】：贵州省科学技术基金项目[黔科合J字(2011)2303号]
【分类号】：R576;R816.5

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