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。
Objective To investigate the changes and significance of CT findings in the development and evolution of MAP to SAP. Methods The chest CT findings collected at the right before and after a 72 hour period in which 29？ cases of MAP developed into SAPwere examined. Results Among 29 cases there are 19 in which abnormal signs in the chest CT could be found 72 hours before. The abnormal signs included interlobular septal edema thickening（ 9 cases）,pleural effusion was（ 4 cases）,opacity（ 3case）,pleural effusion and interlobular septal thickening（ 2cases）,pleural effusion andopacity（ 1 case）. After 72 hours 27 cases abnormal signs in chest CT could be found. The abnormal signs include interlobular septal edema thickening（ 4 cases）,pleural effusion（ 3 cases）,opacity（ 1 case）,pleural effusion and interlobular septal edema thickening（ 7 cases）,pleural effusion and opacity（ 7 case）,pleural effusion and pericardial effusion（ 1case）,pleural effusion and opacity and interlobular septal edema thickening（ 4 cases）. Conclusion The chest CT signs would present with a noticeable change in development？ and？ evolution of MAP to SAP,which could be used as reliable evidencein monitoring the development and evolution of MAP to SAP.
出处
《临床放射学杂志》
CSCD
北大核心
2015年第6期935-938,共4页
Journal of Clinical Radiology
