Department of Radiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB20QQ, UK.
Br J Radiol. 2010 Feb;83(986):104-12. doi: 10.1259/bjr/13359269.
Acute pancreatitis is a common condition (thought to be increasing in incidence worldwide), which has a highly variable clinical course. The radiologist plays a key role in the management of such patients, from diagnosis and staging to identification and treatment of complications, as well as in determining the underlying aetiology. The aim of this article is (i) to familiarize the reader with the pathophysiology of acute pancreatitis, the appearances of the various stages of pancreatitis, the evidence for the use of staging classifications and the associated complications and (ii) to review current thoughts on optimising therapy.
急性胰腺炎是一种常见疾病(据认为在全球范围内发病率正在上升),其临床表现高度可变。放射科医生在这类患者的管理中起着关键作用,从诊断和分期到并发症的识别和治疗,以及确定潜在病因。本文的目的是:(i)使读者熟悉急性胰腺炎的病理生理学、胰腺炎各阶段的表现、分期分类的应用证据以及相关并发症;(ii)回顾关于优化治疗的最新思路。