轻症急性胰腺炎向重症急性胰腺炎演变胸部MSCT征象的变化

发布时间：2018-06-24 08:30

本文选题：轻症急性胰腺炎 + 重症急性胰腺炎　；参考：《临床放射学杂志》2015年06期

【摘要】：目的探讨轻症急性胰腺炎(MAP)向重症急性胰腺炎(SAP)发展演变胸部CT表现的变化及其意义。方法搜集29例MAP发展演变为SAP的患者72 h内及72 h后的胸部CT资料,并比较分析前后CT的不同征象。结果 72 h内29例MAP患者,19例胸部CT可见异常征象,主要包括小叶间隔水肿增厚9例、胸腔积液4例,小片状影3例,胸腔积液合并小叶间隔水肿增厚2例,胸腔积液合并小片状影1例。72 h后27例胸部CT出现异常征象,表现为小叶间隔水肿增厚4例,胸腔积液3例,片状影1例,胸腔积液合并小叶间隔水肿增厚7例,胸腔积液合并片状影7例,胸腔积液合并心包积液1例,胸腔积液合并片状影及小叶间隔水肿增厚4例。结论 MAP向SAP演变时胸部CT征象出现明显变化,可作为判断MAP发展演变为SAP的依据之一。
[Abstract]:Objective to investigate the changes and significance of CT in the development and evolution of the chest of severe acute pancreatitis (MAP) to severe acute pancreatitis (SAP). Methods the chest CT data of 29 cases of MAP developed into SAP in 72 h and 72 h were collected, and the different signs of CT were compared and analyzed. 29 cases of MAP in 72 h and 19 cases of abnormal chest CT were found. Mainly including 9 cases of interlobular septal edema, 4 cases of pleural effusion, 3 cases of small slice shadow, 2 cases of pleural effusion with interlobular septum thickening, 27 cases of CT abnormal appearance in the chest, 1 cases of pleural effusion with.72 h, 4 cases of interlobular septal edema, 3 cases of pleural effusion, 1 flake shadow, pleural effusion with interlobular septal water There were 7 cases of swelling and thickening, 7 cases with pleural effusion with flaky shadow, 1 cases of pleural effusion with pericardial effusion, 4 cases of pleural effusion with flaky shadow and thickening of interlobular septum edema. Conclusion the CT signs of MAP to SAP appear obvious changes, which can be used as a basis for judging the development and evolution of MAP to SAP.
【作者单位】：湖北省大冶市人民医院CT/MR室;黄石市中心医院呼吸内科;
【分类号】：R576

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