胰腺钝性伤的CT诊断  

CT diagnosis of blunt pancreatic trauma

作　　者：高勇安[1] 邵红[1] 张念察[1] 林彬[1] 梅其在[1] 李坤成[1] 

机构地区：[1]首都医科大学宣武医院放射科,100053

出　　处：《中华放射学杂志》2001年第6期469-470,共2页Chinese Journal of Radiology

摘　　要：目的　总结分析胰腺钝性伤的CT征象。方法　经手术证实的胰腺钝性伤 5例 ,回顾分析其CT表现及特点。结果　 2例分别为胰腺断裂和实质出血的胰腺钝性伤患者 ,未能及时诊断和有效治疗 ,并发了重症胰腺炎、胰周感染和脓肿等严重并发症 ,致使住院治疗时间明显延长。另 3例及时诊断和治疗 ,患者很快恢复出院。结论　CT是诊断胰腺钝性伤的首选方法。正确认识CT征象能及时作出诊断 ,为适时手术提供依据 ,从而减少并发症及死亡率 ,特别是对胰腺损伤程度严重的患者。Objective To study CT features and pathological basis of blunt pancreatic trauma (BPT). Methods CT findings of five patients with BPT were analyzed and correlated with operative and pathological reports. Results Two patients, with complete pancreatic disruption and intrapancreatic hematoma respectively, without diagnosing and operating in time, were associated with severe complications such as severe pancreatitis, infection and abscess, and increased period in hospital. Three patients with diagnosing and operating in time recovered soon. Conclusion CT is an effective modality for diagnosing of the patients with BPT. Correct CT diagnosis is very important for the effective surgical treatment as well as reduction of severe complications and mortality of BPT, especially for the patients with severe BPT.

关 键 词：胰腺损伤 CT 诊断 治疗 

分 类 号：R816.5[医药卫生—放射医学]