Safrit H D, Rice R P
Department of Radiology, Duke University Medical Center, Durham, North Carolina.
Radiol Clin North Am. 1989 Jan;27(1):73-9.
Supine and upright films of the abdomen are usually the first imaging procedures in the evaluation of patients with suspected acute pancreatitis and may document calcific pancreatitis, inflammatory masses, abscesses, or obstruction. Appropriate barium or water-soluble contrast examination of the upper GI tract may provide an accurate indication of upper GI tract obstruction as well as document gastric varices that may occur as a complication of pancreatitis. Appropriate contrast examinations of the colon are important in documenting the extent of inflammatory changes of the colon, which may include perforation and necrosis. Accurate and expeditious documentation of these colonic complications is important in planning appropriate surgical therapy.
腹部仰卧位和直立位平片通常是评估疑似急性胰腺炎患者的首选影像学检查方法，可显示钙化性胰腺炎、炎性肿块、脓肿或梗阻情况。对上消化道进行适当的钡剂或水溶性造影检查，可准确显示上消化道梗阻情况，并记录可能作为胰腺炎并发症出现的胃静脉曲张。对结肠进行适当的造影检查对于记录结肠炎症变化的范围很重要，这些变化可能包括穿孔和坏死。准确、迅速地记录这些结肠并发症对于规划适当的手术治疗很重要。
