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评估急性胰腺炎严重程度的放射学和生化参数:一项综述

Radiological and Biochemical Parameters in Assessing Acute Pancreatitis Severity: A Comprehensive Review.

作者信息

Bikkumalla Shruthi, Chandak Suresh R, Reddy Srinivasa, Ram Sohan Poosarla, Hatewar Akansha

机构信息

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jun 13;16(6):e62288. doi: 10.7759/cureus.62288. eCollection 2024 Jun.

Abstract

Acute pancreatitis is a dynamic inflammatory condition of the pancreas with a spectrum ranging from mild to severe. Early and accurate assessment of disease severity is crucial for guiding clinical management and improving patient outcomes. This comprehensive review explores the role of radiological and biochemical parameters in assessing the severity of acute pancreatitis. Radiological imaging modalities, including computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound (US), play a pivotal role in identifying key features, such as pancreatic necrosis and peripancreatic fluid collections, indicative of severe disease. Additionally, serum markers such as amylase, lipase, and C-reactive protein (CRP) provide valuable prognostic information and aid in risk stratification. Integrating radiological and biochemical parameters allows for a multidimensional evaluation of disease severity, enabling clinicians to make informed decisions regarding patient management. Early identification of severe cases facilitates timely interventions, including intensive care monitoring, nutritional support, and potential surgical interventions. Despite significant advancements in the field, there remain areas for further research, including the validation of emerging imaging techniques and biomarkers and the exploration of personalized management approaches. Addressing these research gaps can enhance our understanding of acute pancreatitis and ultimately improve patient care and outcomes.

摘要

急性胰腺炎是一种胰腺的动态炎症性疾病,其严重程度范围从轻度到重度。早期准确评估疾病严重程度对于指导临床管理和改善患者预后至关重要。这篇综述探讨了放射学和生化参数在评估急性胰腺炎严重程度中的作用。放射学成像方式,包括计算机断层扫描(CT)、磁共振成像(MRI)和超声(US),在识别关键特征(如胰腺坏死和胰腺周围液体积聚)方面起着关键作用,这些特征表明疾病严重。此外,血清标志物如淀粉酶、脂肪酶和C反应蛋白(CRP)提供有价值的预后信息并有助于风险分层。整合放射学和生化参数可以对疾病严重程度进行多维度评估,使临床医生能够就患者管理做出明智决策。早期识别重症病例有助于及时进行干预,包括重症监护监测、营养支持和可能的手术干预。尽管该领域取得了重大进展,但仍有进一步研究的领域,包括新兴成像技术和生物标志物的验证以及个性化管理方法的探索。填补这些研究空白可以增进我们对急性胰腺炎的理解,并最终改善患者护理和预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3267/11247244/1b0001d6366a/cureus-0016-00000062288-i01.jpg

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