CT对急性胰腺炎的诊断价值

目的 探讨急性胰腺炎的CT表现及其应用价值。方法 对27例急性胰腺炎病人进行CT检查，取层厚5mm，部分病例做了增强扫描，以2．5～3ml／s的速度注入80～100ml造影剂。结果 单纯性21例，坏死性6例，合并出血2例。CT表现为胰腺肿大。密度改变，胰周渗液。并发症。结论 CT是急性胰腺炎最有效的影像诊断方法，增强扫描对胰腺坏死范围、程度、定量、定性的判断有很大价值，有助于临床诊断及治疗。

Diagnostic value of CT in acute pancreatitis

Objective To explore CT imaging manifestations and to evaluate its value in acute pancreatitis. Methods CT scan was performed in 27 cases of acute pancreatitis and part of them underwent enhancement scanning. 80-100 ml contrast medium was injected into their body at the speed of 2.5-3 ml/s. The collimation was 5mm. Results There were 21 cases of simple acute pancreatitis and 6 necrotic acute pancreatitis, in which 2 cases had complication of haemorrage. The CT imaging manifested enlarged pancreas with different density alterations, peripancreatic effusion and complications. Conclusion CT scan is the most effective imaging diagnostic method for acute pancreatitis. Enhanced CT scan has much more value to evaluate necrotic range and extent of the pancreas. It plays an important role in the clinical diagnosis and treatment of acute pancreatitis.