急性胰腺炎的影像学检查：计算机断层扫描结果的预后价值

Imaging of acute pancreatitis: prognostic value of computed tomographic findings.

作者信息

Trout Andrew T, Elsayes Khaled M, Ellis James H, Francis Isaac R

机构信息

Department of Radiology, University of Michigan Health Center, Ann Arbor, MI 48109, USA.

出版信息

J Comput Assist Tomogr. 2010 Jul;34(4):485-95. doi: 10.1097/RCT.0b013e3181d344ca.

DOI:10.1097/RCT.0b013e3181d344ca

PMID:20657214

Abstract

Although most cases of acute pancreatitis are uncomplicated and resolve spontaneously, the presence of complications has significant prognostic importance. Necrosis, hemorrhage, and infection convey up to 25%, 52%, and 80% mortality, respectively. Other complications such as pseudocyst formation, pseudoaneurysm formation, or venous thrombosis increase morbidity and mortality to a lesser degree.We review the computed tomographic findings of complications associated with acute pancreatitis with emphasis on their prognostic significance and impact on clinical management.

摘要

尽管大多数急性胰腺炎病例并不复杂且可自发缓解，但并发症的出现具有重要的预后意义。坏死、出血和感染的死亡率分别高达25%、52%和80%。其他并发症，如假性囊肿形成、假性动脉瘤形成或静脉血栓形成，对发病率和死亡率的增加程度较小。我们回顾了与急性胰腺炎相关并发症的计算机断层扫描结果，重点关注其预后意义及对临床管理的影响。