探讨急性胰腺炎的临床表现和CT诊断及鉴别诊断  

The Clinical Manifestation and CT Diagnosis and Differential Diagnosis of Acute Pancreatitis

作　　者：白广生[1] 

机构地区：[1]大庆市第四医院影像科,黑龙江大庆163712

出　　处：《中国卫生标准管理》2018年第3期121-122,共2页China Health Standard Management

摘　　要：目的探讨急性胰腺炎患者临床中接受CT诊断的效果,对患者的临床表现进行总结归纳,分析CT诊断的价值。方法根据我院接收的急性胰腺炎患者共100例开展研究分析,对患者的临床CT诊断情况进行探讨。结果全部患者中的症状分成两类,一类是急性水肿型胰腺炎,还有一种是急性出血坏死型胰腺炎,共有急性水肿型胰腺炎患者40例,占总数的40%,有急性出血坏死型胰腺炎患者60例,占总数的60%。全部患者的临床症状表现都不相同,急性水肿型胰腺炎患者的周脂肪层比较模糊,胰胆管会有扩张的情况出现;急性出血坏死型胰腺炎患者的胰腺内形状不同,有些是点状,有些是大片状。结论急性胰腺炎患者接受CT诊断能够对病情确定提供较大的帮助,是临床非常重要的检查方式,但需要做好鉴别诊断。Objective To investigate the effect of CT diagnosis in acute pancreatitis patients, and summarize the clinical manifestations of patients, and analyze the value of CT diagnosis. Methods A total of 100 patients with acute pancreatitis received in our hospital were studied and analyzed, and the clinical CT diagnosis of the patients was discussed. Results All patients symptoms were divided into two categories, one was the acute edematous pancreatitis, there was a kind of acute hemorrhagic necrotizing pancreatitis, there were 40 cases of patients with acute edematous pancreatitis, accounting for 40% of the total, 60 patients with acute hemorrhagic necrotizing pancreatitis, accounting for 60% of the total. The clinical symptoms of all patients were not the same, the peripheral fat layer in patients with acute edematous pancreatitis was fuzzy, there will be expansion of the pancreatic duct; acute hemorrhagic necrotizing pancreatitis and pancreatic shape were different, some point some large patches. Conclusion The CT diagnosis of acute pancreatitis can provide a great help for the determination of the disease. It is a very important way of clinical examination, but we need to do well in the differential diagnosis.

关 键 词：急性胰腺炎 CT诊断 鉴别诊断 

分 类 号：R576[医药卫生—消化系统]