Nuutinen P, Kivisaari L, Schröder T
Second Department of Surgery, Helsinki University Central Hospital, Finland.
Pancreas. 1988;3(1):53-60. doi: 10.1097/00006676-198802000-00010.
Five patients with severe acute pancreatitis had a low contrast enhancement (CE) of the pancreas in computed tomography (CT) and underwent subtotal pancreatectomy. Microangiography and histologic studies were performed on the resected pancreases, and the findings were related to those of CE. All patients had histologically documented hemorrhagic/necrotizing pancreatitis. The more disturbed the vascular anatomy in microangiography, the more hemorrhages and necroses were found in histology. The microangiographic and histologic findings corresponded closely to the low contrast-enhanced CT of the diseased pancreas in each patient. Thus, in the early phase of severe acute pancreatitis, one can detect by noninvasive means which areas of the gland are necrotic and which edematous by a dynamic study of contrast-enhanced CT of the pancreas.
五例重症急性胰腺炎患者在计算机断层扫描（CT）中胰腺的对比增强（CE）较低，并接受了胰腺次全切除术。对切除的胰腺进行了微血管造影和组织学研究，其结果与对比增强情况相关。所有患者经组织学证实为出血性/坏死性胰腺炎。微血管造影中血管解剖结构破坏越严重，组织学中发现的出血和坏死就越多。微血管造影和组织学结果与每位患者患病胰腺的低对比增强CT密切相符。因此，在重症急性胰腺炎的早期阶段，通过对胰腺对比增强CT进行动态研究，可通过非侵入性手段检测出胰腺哪些区域坏死、哪些区域水肿。
